Individual provider Active NPI

Anne Vu Tran, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1265037865
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7938 Issued in NV
Practice address
6485 N Decatur Blvd Ste 150
Las Vegas, NV 89131-2989
Phone
(702) 846-5745
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105819 CA
Dentist 122300000X 7938 NV Primary

Addresses

Primary practice location

6485 N Decatur Blvd Ste 150
Las Vegas, NV 89131-2989

Mailing address

3220 Sepulveda Blvd Ste 206
Torrance, CA 90505-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240131000889 NV Order and Referring Only - DentistPractitioner - Dentist 6901259506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105819CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Fahr DDS Inc PastSince Dec 1, 2020 Accepting new patients
Joseph P Fahr PastSince Dec 1, 2020 Accepting new patients
Shahrestani Shadow Mountain Smiles Dentistry, PC Dentist PastSince Dec 3, 2023 Accepting new patients
Holly Wu, DDS, Inc. PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1265037865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SEPULVEDA BLVD STE 206",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905058161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 N DECATUR BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312989",
            "telephone_number": "702-846-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANNE",
        "middle_name": "VU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105819",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.