Ngan Kim Tran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100453 Issued in CA

Practice address

1513 Hickory Ave
San Leandro, CA 94579

Phone

(510) 541-9523

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chang and Tran Dental Inc

  • Dental Clinic/Center
  • San Lorenzo, CA
  • NPI 1902660251
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1174079370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HICKORY AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791309",
            "telephone_number": "510-541-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HICKORY AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94579",
            "telephone_number": "510-541-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGAN",
        "middle_name": "KIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Tran, DPT
• Khoi N Tran, PHARM D
• Lilly Tran
• Nam Tran
• Nancy Thuy Tran
• Nguyen Tran
• Oanh Tran
• Quang Tran
• Victoria Trang, PA-C
• Tadd Andrew Trausch, M.A.

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.