Individual provider Active NPI

Jimmy Tran, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1225609936
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37292 Issued in TX
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

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501001369 TX Order and Referring Only - DentistPractitioner - Dentist 4587004072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37292TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brident DDS PC PastSince Oct 5, 2021 Accepting new patients
Brident DDS PC PastSince Oct 5, 2021 Accepting new patients
Wallisville Dental Associates, PA General Practice PastSince Jul 17, 2021 Accepting new patients
Lee&Lee Hiram Clark PLLC Past Accepting new patients
Lee &Lee Alvin1 PLLC Past Accepting new patients
Brace Face, PLLC PastSince Mar 16, 2020 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.

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

Verify at the official NPI Registry.