Active NPI
Vinh Tran, D.D.S.
- Dentist
- Norcross, GA
National Provider Identifier
1134414006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014300
- Practice address
- 4782 Jimmy Carter Blvd
Norcross, GA 30093-3714 - Phone
- (770) 925-1872
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014300 | GA | Primary |
Addresses
Primary practice location
4782 Jimmy Carter Blvd
Norcross, GA 30093-3714
Mailing address
3594 Willow Glen TRL
Suwanee, GA 30024-7169
Phone (770) 401-5011
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014300 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1134414006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3594 WILLOW GLEN TRL",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247169",
"telephone_number": "770-401-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4782 JIMMY CARTER BLVD",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933714",
"telephone_number": "770-925-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "VINH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.