Organization Active NPI

Amy Tran DDS Inc

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1154625960
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57683 Issued in CA
Legal business name
AMY TRAN DDS INC
Practice address
844 E Valley Blvd
San Gabriel, CA 91776-3642
Phone
(626) 307-1064
Fax
(626) 307-5385
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Amy Tran, D.D.S.NPI 1801045059
Title
Owner Dentist
Phone
(626) 307-1064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 57683 CA Primary

Addresses

Primary practice location

844 E Valley Blvd
San Gabriel, CA 91776-3642

Mailing address

844 E Valley Blvd
San Gabriel, CA 91776-3642
Phone (626) 307-1064

National Provider Directory

National Provider Directory

Locations

844 E Valley Blvd
San Gabriel, CA 91776
Phone (626) 307-1064

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1154625960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763642",
            "telephone_number": "626-307-1064",
            "fax_number": "626-307-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763642",
            "telephone_number": "626-307-1064",
            "fax_number": "626-307-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY TRAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "626-307-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.