Individual provider Active NPI

Kevin Tran, DMD

  • General Practice Dentistry
  • Buford, GA
National Provider Identifier
1194322792
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36747 Issued in TX
Practice address
4890 Golden Pkwy
Buford, GA 30518-5843
Phone
(678) 288-4786
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36747 TX Primary

Addresses

Primary practice location

4890 Golden Pkwy
Buford, GA 30518-5843

Mailing address

4890 Golden Pkwy
Buford, GA 30518-5843

Other practice location 1

264 SE John Jones Dr Ste 116
Burleson, TX 76028-8326
Phone (469) 490-1410

Other practice location 2

4898 Little Rd
Arlington, TX 76017-1054
Phone (817) 704-2402

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

LicenseStateTypeSpecialty
36747TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Professionals, PC General Practice CurrentSince Nov 20, 2022 Accepting new patients
Ismile Dental at the Chisolm Trail PLLC General Practice PastSince Oct 1, 2020 Accepting new patients

Locations

4890 Golden Pkwy
Buford, GA 30518
Phone (678) 288-4786

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194322792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 GOLDEN PKWY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 GOLDEN PKWY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185843",
            "telephone_number": "678-288-4786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 SE John Jones Dr Ste 116",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760288326",
            "country_code": "US",
            "telephone_number": "469-490-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4898 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171054",
            "country_code": "US",
            "telephone_number": "817-704-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-09-11",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.