Individual provider Active NPI

Tuan Anh Tran, DDS

  • General Practice Dentistry
  • Gilroy, CA
National Provider Identifier
1104434448
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106028 Issued in CA
Practice address
780 1St St
Gilroy, CA 95020-4972
Phone
(408) 796-3110
NPI assigned
Jul 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14441 MN
General Practice Dentistry 1223G0001X 106028 CA Primary

Addresses

Primary practice location

780 1St St
Gilroy, CA 95020-4972

Mailing address

1017 Curtner Ave
San Jose, CA 95125-2711
Phone (929) 297-3895

Other practice location 1

1880 Tailwind Dr Ste 200
Mankato, MN 56001-6277
Phone (507) 388-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14441MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Saron Dental PLLC General Practice PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1104434448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CURTNER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252711",
            "telephone_number": "929-297-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 1ST ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204972",
            "telephone_number": "408-796-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Tailwind Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016277",
            "country_code": "US",
            "telephone_number": "507-388-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TUAN",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14441",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.