Richard Tran, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108723 Issued in CA

Practice address

30406 Haun Rd Ste 740
Menifee, CA 92584-6816

Phone

(951) 679-4624

NPI assigned

Sep 21, 2017

Last updated

May 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn Ghazal and Minh Pham Dental Corporation

  dba Menifee Smiles Dentistry and Orthodontics

  • General Practice Dentistry
  • Menifee, CA
  • NPI 1619121241
  NPD (past)
• Familia Dental Madison East LLC

  • Dental Clinic/Center
  • Madison, WI
  • NPI 1821451428
  NPD (past)
• Familia Dental West Green Bay

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1588197149
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1295244374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30406 HAUN RD STE 740",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846816",
            "telephone_number": "951-679-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30406 HAUN RD STE 740",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846816",
            "telephone_number": "951-679-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537044301",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 W Mason St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543034707",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001687",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tywan Towers, MHA
• Jessica Towse
• Tracy Ngo OD, Inc.
• Crystal Trammell, ASW
• Peter Cuong Tran, PHARMD
• Son Tran
• Destiny Travis
• Gerardo Trejo, LVN
• Miranda Trigueros-Thurston, LMFT
• Salvador Tringali III

• Dentist in Menifee, CA
• Providers in Menifee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.