Active NPI
Tracy T Tran, D.D.S, M.S.
- Pediatric Dentistry
- Midland, TX
National Provider Identifier
1376838508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30818
- Practice address
- 3401 Greenbriar
Suite 300
Midland, TX 79707-4652 - Phone
- (432) 682-1614
- NPI assigned
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 30818 | TX | Primary |
Addresses
Primary practice location
3401 Greenbriar
Suite 300
Midland, TX 79707-4652
Mailing address
2990 Blackburn St
#3140
Dallas, TX 75204-3113
Phone (323) 303-6291
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30818 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1376838508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 BLACKBURN ST",
"address_2": "#3140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043113",
"telephone_number": "323-303-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 GREENBRIAR",
"address_2": "SUITE 300",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797074652",
"telephone_number": "432-682-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRACY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S, M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "30818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.