Active NPI
Kevin Tran, DMD
- General Practice Dentistry
- Buford, GA
National Provider Identifier
1194322792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36747
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36747 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Professionals, PC | General Practice | Current | Accepting new patients |
| Ismile Dental at the Chisolm Trail PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Buford, GA
- NPI 1205501285
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1205440146
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.