Individual provider Active NPI

Joshua J Tran, D.M.D.

  • General Practice Dentistry
  • Minersville, PA
National Provider Identifier
1306155569
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038460 Issued in PA
Practice address
240 S 4TH St
Minersville, PA 17954-1104
Phone
(570) 544-4845
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS038460 PA Primary

Addresses

Primary practice location

240 S 4TH St
Minersville, PA 17954-1104

Mailing address

240 S 4TH St
Minersville, PA 17954-1104
Phone (570) 544-4845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS038460PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Dental Associates CurrentSince Oct 24, 2021 Accepting new patients
Boran Dental Assoc PC PastSince Oct 24, 2021 Accepting new patients

Locations

240 S 4th St
Minersville, PA 17954
Phone (570) 544-4845

Organizations & group practices 2

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1306155569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S 4TH ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541104",
            "telephone_number": "570-544-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 4TH ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541104",
            "telephone_number": "570-544-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.