Active NPI
Tran Truong DDS a Professional Corp.
- General Practice Dentistry
- Indio, CA
National Provider Identifier
1245683382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45993
- Legal business name
- TRAN TRUONG DDS A PROFESSIONAL CORP.
- Practice address
- 80120 US Highway 111
Indio, CA 92201-8364 - Phone
- (760) 775-9901
- Fax
- (760) 775-9902
- NPI assigned
- Jul 13, 2016
- Organization subpart
- Yes
- Parent organization
- TRAN TRUONG DDS A PROFESSIONAL CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Tran, DDS
- Title
- President
- Phone
- (714) 267-9163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45993 | CA | Primary |
Addresses
Primary practice location
80120 US Highway 111
Indio, CA 92201-8364
Mailing address
80120 US Highway 111
Indio, CA 92201-8364
Phone (760) 775-9901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323559 | Medicaid | CA | |
| B45993-01 | Other | CA | DENTICAL |
Other names 1
- Dental plus office
National Provider Directory
National Provider Directory- Part of
- Tran Truong DDS a Professional Corp
Locations
80120 US Highway 111
Indio, CA 92201
Phone (760) 775-9901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468368000000",
"number": "1245683382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80120 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922018364",
"telephone_number": "760-775-9901",
"fax_number": "760-775-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80120 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922018364",
"telephone_number": "760-775-9901",
"fax_number": "760-775-9902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAN TRUONG DDS A PROFESSIONAL CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRAN TRUONG DDS A PROFESSIONAL CORP.",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-267-9163",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831323559",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B45993-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental plus office",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.