Doan Khanh Tran, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4271-22 Issued in MS

Practice address

3661 Sangani Blvd
Diberville, MS 39540-8706

Phone

(228) 269-0175

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1255409967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 W ROOSEVELT BLVD STE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103090",
            "telephone_number": "704-291-7100",
            "fax_number": "704-291-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SANGANI BLVD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408706",
            "telephone_number": "228-269-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2258 W Roosevelt Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281103090",
            "country_code": "US",
            "telephone_number": "704-291-7100",
            "fax_number": "704-291-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DOAN",
        "middle_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4271-22",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919131",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Tindol, RN
• Kaela Tong, FNP
• Milton Eduardo Torres Caban, DMD
• Total Renal Care Inc (Gulf Islands Home Training)
• Christina Tran
• Debra L Traughber, LPC-S, ACS
• Debra Scardino Treutel, RPH
• Melissa Wilson Tucker, M.D.
• Angelos Basil Vamvakas, M.D.
• Vitality Wellness Clinic LLC (Vitality Medical Clinic and Spa)

• General Practice Dentistry in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.