Phong Tran Cao PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5898 Issued in NV

Legal business name

PHONG TRAN CAO PLLC

Practice address

700 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-7517

Phone

(702) 366-6115

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Phong Tran Cao, DDSNPI 1194972364

Title

Dentist/Owner

Phone

(702) 366-6115

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 5 Star Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phong Tran Cao

  • Dentist
  • Orange, CA
  • NPI 1194972364
  NPD (past) Authorized official

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1376041053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837517",
            "telephone_number": "702-366-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837517",
            "telephone_number": "702-366-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6007 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182562",
            "country_code": "US",
            "telephone_number": "702-366-6115",
            "fax_number": "702-366-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3910 W Ann Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313837",
            "country_code": "US",
            "telephone_number": "702-366-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHONG TRAN CAO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TRAN CAO",
        "authorized_official_first_name": "PHONG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "702-366-6115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5898",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1194972364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Phoenix, APRN
• Sophear Phoeuk
• Sue Phommachanh
• Manisengkeo Phommasaysy
• Marlene May Phone
• Anna Phongsavanh
• Bounrattanapasong Phonhnaboth, COTA/L
• Phonix Rising Behavorial Health
• Aloun Phonsavanh
• Ajanhai Phoumiphat

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.