Individual provider Active NPI

Lisa L Tran, DDS, MS

  • Periodontics
  • Pearland, TX
National Provider Identifier
1194977041
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22275 Issued in TX
Practice address
3530 Sunset Meadows Dr
Suite 108
Pearland, TX 77581-8865
Phone
(281) 648-8400
Fax
(281) 648-8401
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22275 TX Primary

Addresses

Primary practice location

3530 Sunset Meadows Dr
Suite 108
Pearland, TX 77581-8865

Mailing address

3530 Sunset Meadows Dr
Suite 108
Pearland, TX 77581-8865
Phone (281) 648-8400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22275TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1194977041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 SUNSET MEADOWS DR",
            "address_2": "SUITE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818865",
            "telephone_number": "281-648-8400",
            "fax_number": "281-648-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SUNSET MEADOWS DR",
            "address_2": "SUITE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818865",
            "telephone_number": "281-648-8400",
            "fax_number": "281-648-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "22275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.