NPIMap

Organization Active NPI

Rick Van Tran

  • Dentist
  • Manteca, CA
National Provider Identifier
1194099192
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53036 Issued in CA
Legal business name
RICK VAN TRAN
Practice address
521 E Center St
Manteca, CA 95336-4719
Phone
(209) 823-9218
Fax
(209) 823-1134
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Rick Van Tran, D.D.S.NPI 1477768307
Title
President
Phone
(209) 823-9218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53036 CA Primary

Addresses

Primary practice location

521 E Center St
Manteca, CA 95336-4719

Mailing address

521 E Center St
Manteca, CA 95336-4719
Phone (209) 823-9218

Other names 1

  • Manteca Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

521 E Center St
Manteca, CA 95336
Phone (209) 420-1205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1194099192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-823-9218",
            "fax_number": "209-823-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-823-9218",
            "fax_number": "209-823-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK VAN TRAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-823-9218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manteca Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.