Individual provider Active NPI

My Thi Tran, D.M.D.

  • General Practice Dentistry
  • Hutto, TX
National Provider Identifier
1184030926
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33615 Issued in TX
Practice address
401 Ed Schmidt Blvd Ste 100
Hutto, TX 78634-5715
Phone
(512) 846-2011
NPI assigned
Jul 1, 2014
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33615 TX Primary
General Practice Dentistry 1223G0001X 6114 AL

Addresses

Primary practice location

401 Ed Schmidt Blvd Ste 100
Hutto, TX 78634-5715

Mailing address

6805 Wood Hollow Dr Apt 105R
Austin, TX 78731-3102
Phone (205) 382-2873

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@adchutto.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161111001795 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375822448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6114ALMDGeneral Practice Dentistry
33615TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Dental 2 PLLC General Practice CurrentSince Nov 8, 2020 Accepting new patients

Locations

401 Ed Schmidt Blvd
Ste 100
Hutto, TX 78634
Phone (512) 846-2011

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1184030926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 WOOD HOLLOW DR APT 105R",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313102",
            "telephone_number": "205-382-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ED SCHMIDT BLVD STE 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345715",
            "telephone_number": "512-846-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MY THI",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33615",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@adchutto.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Ed Schmidt Blvd Ste 100",
            "city": "Hutto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786345715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.