Active NPI
Phuong Minh Tran
- Dentist
- Cypress, TX
National Provider Identifier
1194254086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34375
- Practice address
- 9727 Barker Cypress Rd Ste 600
Cypress, TX 77433-4445 - Phone
- (281) 861-0015
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 34375 | TX | Primary |
Addresses
Primary practice location
9727 Barker Cypress Rd Ste 600
Cypress, TX 77433-4445
Mailing address
16410 Torry View Ter
Houston, TX 77095-3841
Other practice location 1
5835 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 372-6147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190610002764 | TX | Order and Referring Only - Dentist | 6507199379 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Dentistry | Dentist | Current | Accepting new patients |
| Cypress Spring Dentistry, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Katy, TX
- NPI 1023608213
-
- Dentist
- Cypress, TX
- NPI 1164839114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1194254086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 TORRY VIEW TER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770953841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9727 BARKER CYPRESS RD STE 600",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774334445",
"telephone_number": "281-861-0015"
}
],
"practiceLocations": [
{
"address_1": "5835 E Still Cir",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852063618",
"country_code": "US",
"telephone_number": "480-372-6147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONG",
"middle_name": "MINH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.