Anh Thu Tram, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39719 Issued in CA

Practice address

12859 Palm St
Garden Grove, CA 92840-6401

Phone

(714) 534-1434

Fax

(714) 242-1777

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225080641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13722 TYPEE WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203272",
            "telephone_number": "949-654-7882",
            "fax_number": "714-242-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12859 PALM ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406401",
            "telephone_number": "714-534-1434",
            "fax_number": "714-242-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAM",
        "first_name": "ANH",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "D39719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lianna Minette Towers
• Mia Isabella Traches Nunez
• Tracy Nguyen, D.D.S., Professional Dental Corp.
• Tracy Tom Park, O.D.
• Tram Pham Pharmd, Inc
• Melissa Thuy Tram, DDS
• Thinh Tram
• Tran Pharmacy
• Tran Pharmacy Inc
• Tran Pharmacy Inc

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.