Active NPI
Thien Tam Tran, D.M.D.
- Pediatric Dentistry
- Fort Worth, TX
National Provider Identifier
1194022327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 26006
- Practice address
- 225 NE 28TH St Ste 225
Fort Worth, TX 76164-7205 - Phone
- (181) 779-9506
- NPI assigned
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 26006 | TX | Primary |
Addresses
Primary practice location
225 NE 28TH St Ste 225
Fort Worth, TX 76164-7205
Mailing address
2528 Sundance LN
Dallas, TX 75287-5871
Phone (469) 774-1402
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 |
|---|---|---|---|
| 26006 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1194022327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 SUNDANCE LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875871",
"telephone_number": "469-774-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 NE 28TH ST STE 225",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761647205",
"telephone_number": "181-779-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THIEN",
"middle_name": "TAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "26006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.