Individual provider Active NPI

Patrick Tran, DDS

  • Dentist
  • Tacoma, WA
National Provider Identifier
1164140315
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107794 Issued in CA
Practice address
Joint Base Lewis-McChord Dentac
9900 Lincoln Street 2ND Floor
Tacoma, WA 98431
Phone
(253) 968-4079
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107794 CA Primary

Addresses

Primary practice location

Joint Base Lewis-McChord Dentac
9900 Lincoln Street 2ND Floor
Tacoma, WA 98431

Mailing address

Joint Base Lewis-McChord Dentac
9900 Lincoln Street 2ND Floor
Tacoma, WA 98431
Phone (253) 968-4079

Other identifiers 1

IdentifierTypeStateIssuer
107794OtherCADENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.q.tran.mil@health.mil Health Information Exchange (HIE)

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
107794CAMDHospitalist Physician

Interoperability endpoints

  • Direct secure messaging: patrick.q.tran.mil@health.mil

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1164140315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOINT BASE LEWIS-MCCHORD DENTAC",
            "address_2": "9900 LINCOLN STREET 2ND FLOOR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOINT BASE LEWIS-MCCHORD DENTAC",
            "address_2": "9900 LINCOLN STREET 2ND FLOOR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PATRICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "107794",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.q.tran.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Military Email",
            "address_1": "Presidio of Monterey Dental Clinic",
            "address_2": "Building 422",
            "city": "Presidio of Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.