Active NPI
Jason Tran, DDS, MD
- General Practice Dentistry
- MC Lean, VA
National Provider Identifier
1194353177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419866
- Practice address
- 8201 Greensboro Dr Ste 601
MC Lean, VA 22102-3816 - Phone
- (703) 288-4495
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401419866 | VA | |
| General Practice Dentistry | 1223G0001X | 0401419866 | VA | Primary |
Addresses
Primary practice location
8201 Greensboro Dr Ste 601
MC Lean, VA 22102-3816
Mailing address
14602 George Carter Way
Chantilly, VA 20151-1816
Phone (985) 981-4365
Other practice location 1
800 Rose St # D-544
Lexington, KY 40536-7001
Phone (859) 323-8873
Other practice location 2
2435 Mandeville Ln Ste 230
Alexandria, VA 22314-6174
Phone (571) 398-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20200826002720 | KY | Order and Referring Only - Oral Surgery | 7012334758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419866 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Surgicare | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- jtran32803@ukhcdirect.org
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- MC Lean, VA
- NPI 1184055501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1194353177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14602 GEORGE CARTER WAY",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511816",
"telephone_number": "985-981-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 GREENSBORO DR STE 601",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023816",
"telephone_number": "703-288-4495"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St # D-544",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405367001",
"country_code": "US",
"telephone_number": "859-323-8873",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2435 Mandeville Ln Ste 230",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223146174",
"country_code": "US",
"telephone_number": "571-398-0023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401419866",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.