NPIMap

Organization Active NPI

Tran Dental PC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1326172891
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18507 Issued in TX
Legal business name
TRAN DENTAL PC
Practice address
8647 Wurzbach #a
San Antonio, TX 78240-1296
Phone
(210) 690-9430
Fax
(210) 690-2919
NPI assigned
Mar 15, 2007
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Lan M Tran, DDS
Title
Dentist
Phone
(210) 674-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18507 TX Primary

Addresses

Primary practice location

8647 Wurzbach #a
San Antonio, TX 78240-1296

Mailing address

8647 Wurzbach #a
San Antonio, TX 78240-1296
Phone (210) 690-2919

Other identifiers 1

IdentifierTypeStateIssuer
159776701MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Lan Mong Tran2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1326172891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH #A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401296",
            "telephone_number": "210-690-2919",
            "fax_number": "210-690-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH #A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401296",
            "telephone_number": "210-690-9430",
            "fax_number": "210-690-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-674-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159776701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.