NPIMap

Organization Active NPI

Yen Hai Duong, DDS & Jimmy Tran, DMD, Inc.

  • Dental Clinic/Center
  • Tustin, CA
National Provider Identifier
1154905990
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YEN HAI DUONG, DDS & JIMMY TRAN, DMD, INC.
Doing business as
City Dental Tustin
Practice address
18102 Irvine Blvd Ste 212
Tustin, CA 92780-3424
Phone
(714) 714-0818
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Jimmy Binh-Phi Tran, DMD
Title
Dentist
Phone
(714) 714-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

18102 Irvine Blvd Ste 212
Tustin, CA 92780-3424

Mailing address

9317 Bolsa Ave Unit 2099
Westminster, CA 92684-2321
Phone (714) 714-0818

Other names 1

  • City Dental Tustin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yen Hai Duong DDS Jimmy Tran DMD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1154905990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 BOLSA AVE UNIT 2099",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926842321",
            "telephone_number": "714-714-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 212",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803424",
            "telephone_number": "714-714-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN HAI DUONG, DDS & JIMMY TRAN, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "BINH-PHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-714-0818",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Dental Tustin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.