Organization Active NPI

Union Dental Group Anaheim Inc

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1104397538
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNION DENTAL GROUP ANAHEIM INC
Practice address
434 S Euclid St Ste 100
Anaheim, CA 92802-1247
Phone
(714) 533-0900
Fax
(714) 533-0902
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Val H. Tran, DDS
Title
Owner
Phone
(714) 533-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

434 S Euclid St Ste 100
Anaheim, CA 92802-1247

Mailing address

434 S Euclid St Ste 100
Anaheim, CA 92802-1247
Phone (714) 533-0900

National Provider Directory

National Provider Directory

Locations

434 S Euclid St
Ste 100
Anaheim, CA 92802
Phone (714) 533-0900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1104397538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S EUCLID ST STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021247",
            "telephone_number": "714-533-0900",
            "fax_number": "714-533-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S EUCLID ST STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021247",
            "telephone_number": "714-533-0900",
            "fax_number": "714-533-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DENTAL GROUP ANAHEIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-533-0900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.