NPIMap

Individual provider Active NPI

Son Nam Tran, D.D.S.

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1316163546
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20960 Issued in TX
Practice address
508 W McDermott Dr
Ste 100
Allen, TX 75013-2777
Phone
(972) 747-9800
NPI assigned
Apr 17, 2007
Last updated
Apr 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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 20960 TX Primary

Addresses

Primary practice location

508 W McDermott Dr
Ste 100
Allen, TX 75013-2777

Mailing address

508 W McDermott Dr
Ste 100
Allen, TX 75013-2777
Phone (972) 747-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001833 TX Order and Referring Only - DentistPractitioner - Dentist 8123317716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Republic Plaza PC Current Accepting new patients
Dental Republic- Round Rock, LLC General Practice Current Accepting new patients
Dental Republic - Oakcliff, PC General Practice Past Accepting new patients

Locations

3211 W Northwest Hwy
Ste 100
Dallas, TX 75220
Phone (214) 351-0590

11535 West Ave
Ste 100
San Antonio, TX 78213

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1316163546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W MCDERMOTT DR",
            "address_2": "STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132777",
            "telephone_number": "972-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W MCDERMOTT DR",
            "address_2": "STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132777",
            "telephone_number": "972-747-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SON",
        "middle_name": "NAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.