Active NPI
Jimmy Tran, DMD
- General Practice Dentistry
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37292
- Practice address
- 14570 Wallisville Rd Ste 2
Houston, TX 77049-4351 - Phone
- (713) 453-2500
- NPI assigned
- Jul 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37292 | TX | Primary |
Addresses
Primary practice location
14570 Wallisville Rd Ste 2
Houston, TX 77049-4351
Mailing address
7503 Baldwin Xing
Sugar Land, TX 77479-5690
Phone (832) 967-8627
Other practice location 1
4225 Sienna Pkwy Ste 130
Missouri City, TX 77459-6025
Phone (832) 621-3454
Other practice location 2
3124 S Highway 35
Alvin, TX 77511-1404
Phone (281) 585-2300
Other practice location 3
10761 Gulf Fwy Ste B
Houston, TX 77034-1857
Phone (281) 301-1111
Other practice location 4
4407 W Fuqua St Ste R
Houston, TX 77045-6260
Phone (713) 434-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240501001369 | TX | Order and Referring Only - Dentist | 4587004072 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37292 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brident DDS PC | Past | Accepting new patients | |
| Brident DDS PC | Past | Accepting new patients | |
| Wallisville Dental Associates, PA | General Practice | Past | Accepting new patients |
| Lee&Lee Hiram Clark PLLC | Past | Accepting new patients | |
| Lee &Lee Alvin1 PLLC | Past | Accepting new patients | |
| Brace Face, PLLC | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625270400000",
"number": "1225609936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 BALDWIN XING",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795690",
"telephone_number": "832-967-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14570 WALLISVILLE RD STE 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770494351",
"telephone_number": "713-453-2500"
}
],
"practiceLocations": [
{
"address_1": "4225 Sienna Pkwy Ste 130",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774596025",
"country_code": "US",
"telephone_number": "832-621-3454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3124 S Highway 35",
"address_purpose": "LOCATION",
"city": "Alvin",
"state": "TX",
"postal_code": "775111404",
"country_code": "US",
"telephone_number": "281-585-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10761 Gulf Fwy Ste B",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770341857",
"country_code": "US",
"telephone_number": "281-301-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4407 W Fuqua St Ste R",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770456260",
"country_code": "US",
"telephone_number": "713-434-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "JIMMY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-03",
"last_updated": "2021-07-03",
"certification_date": "2021-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.