Mimi Phuong Tran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23340 Issued in TX

Practice address

11803 Westheimer Rd
Suite 710
Houston, TX 77077-6795

Phone

(281) 497-7911

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mimi Tran Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1134312481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 WESTHEIMER RD",
            "address_2": "SUITE 710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776795",
            "telephone_number": "281-497-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 WESTHEIMER RD",
            "address_2": "SUITE 710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776795",
            "telephone_number": "281-497-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MIMI PHUONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "TRAN",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Tran, MS,RD,LD
• Michael D Tran, DMD
• Michael H Tran, M.D.
• Michael Thuan Tran, DDS
• Mimi H Tran, MBA, MS, RD
• Minh Anh Tran, M.D.
• Minh-Thu Tran, DDS
• My Kim Tran, PA-C
• Nga T Tran, RPH
• Ngoan Theresa Tran, PHARM.D.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.