Active NPI
Thanhvan Vu Tran, DDS
- Dentist
- Tulsa, OK
National Provider Identifier
1225291289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27805
- Practice address
- 401 S Utica Ave Ste a
Tulsa, OK 74104-2638 - Phone
- (918) 599-8383
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6012 | OK | |
| Dentist | 122300000X | 27805 | TX | Primary |
Addresses
Primary practice location
401 S Utica Ave Ste a
Tulsa, OK 74104-2638
Mailing address
201 W 8TH St
Suite 810
Pueblo, CO 81003-3038
Phone (719) 562-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6012 | Other | OK | OK STATE DENTAL LICENSE |
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 |
|---|---|---|---|
| 27805 | TX | MD | Dentist |
| 6012 | OK | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Smiles Youth Dentistry, PLLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1962451104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1225291289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W 8TH ST",
"address_2": "SUITE 810",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033038",
"telephone_number": "719-562-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741042638",
"telephone_number": "918-599-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THANHVAN",
"middle_name": "VU",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6012",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK STATE DENTAL LICENSE",
"identifier": "6012",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.