Active NPI
Patrick Tran, DDS
- Dentist
- Tacoma, WA
National Provider Identifier
1164140315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107794
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107794 | Other | CA | DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 107794 | CA | MD | Hospitalist Physician |
Interoperability endpoints
- 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.