Organization Active NPI

David D. Tran, LLC

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1265752026
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022131 Issued in LA
Legal business name
DAVID D. TRAN, LLC
Practice address
121 Lakeview Cir Ste a
Covington, LA 70433-7513
Phone
(985) 893-1070
Fax
(985) 893-1083
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Kahihee Jackson
Title
Assist Manager
Phone
(985) 893-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022131 LA Primary

Addresses

Primary practice location

121 Lakeview Cir Ste a
Covington, LA 70433-7513

Mailing address

121 Lakeview Cir Ste a
Covington, LA 70433-7513
Phone (985) 893-1070

Other identifiers 1

IdentifierTypeStateIssuer
1482200MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000924 LA Part B Supplier - Clinic/Group Practice 9537298484 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2119944David D Tran,MD, LLC121 Lakeview Circle, Ste a, Covington, LA 70433Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1265752026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW CIR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-893-1070",
            "fax_number": "985-893-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW CIR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-893-1070",
            "fax_number": "985-893-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. TRAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KAHIHEE",
        "authorized_official_title_or_position": "ASSIST MANAGER",
        "authorized_official_telephone_number": "985-893-1070"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1482200",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.