Active NPI
Diem Quynh Thi Tran, DDS
- Dentist
- Savage, MN
National Provider Identifier
1194271551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13724
- Practice address
- 13899 Hwy 13 S
Savage, MN 55378 - Phone
- (952) 440-2292
- NPI assigned
- Aug 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13724 | MN | Primary |
Addresses
Primary practice location
13899 Hwy 13 S
Savage, MN 55378
Mailing address
13899 Hwy 13 S
Savage, MN 55378-2135
Phone (952) 440-2292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20170106001020 | MN | Order and Referring Only - Dentist | 6800177825 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tran-Lunning Dental PLLC | Current | Accepting new patients | |
| Dental Delivery Systems of Maple Grove LLC | Past | Accepting new patients | |
| Dental Delivery Systems, PA | Past | Accepting new patients |
Locations
7674 Design Rd
Baxter, MN 56425
Phone (218) 828-4816
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Baxter, MN
- NPI 1417615931
-
- General Practice Dentistry
- Maple Grove, MN
- NPI 1760272611
-
- General Practice Dentistry
- Savage, MN
- NPI 1003988122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1194271551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13899 HWY 13 S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782135",
"telephone_number": "952-440-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13899 HWY 13 S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "55378",
"telephone_number": "952-440-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DIEM",
"middle_name": "QUYNH THI",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.