Nguyentran DDS Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44552 Issued in CA

Legal business name

NGUYENTRAN DDS CORP

Doing business as

DBA Pearly Smile Dental

Practice address

2001 E 4TH St Ste 102
Santa Ana, CA 92705-3916

Phone

(714) 542-8888

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kiet Tran, DDS

Title

Dentist Owner

Phone

(714) 542-8888

Specialties & licenses 1

Addresses

Other names 1

• DBA Pearly Smile Dental Doing business as

Locations

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1295194728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST # I-160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-542-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-542-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYENTRAN DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KIET",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "714-542-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Pearly Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winnie Nguyen
• Xuan Minh Thi Nguyen, PT, DPT
• Zoey Nghi Nguyen, BEHAVIORAL THERAPIST
• Diemchi Nguyenphuc, MD
• Elsie Ngoc My Nguyensi, RN, PHN
• Maria A Nicholas
• Diana Robles Nichols
• Meagan Camille Nicholson
• Lena Lisa Nicklas, LCSW
• Dylan Nicolette

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.