Active NPI
Diep Tran, DMD
- Dentist
- Oak Creek, WI
National Provider Identifier
1386055903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100119515
- Practice address
- 7955 S Main St
Oak Creek, WI 53154-1901 - Phone
- (414) 216-9211
- NPI assigned
- May 16, 2014
- Last updated
- Sep 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100119515 | WI | Primary |
Addresses
Primary practice location
7955 S Main St
Oak Creek, WI 53154-1901
Mailing address
3220 W Howard Ave
Milwaukee, WI 53221-1204
Phone (414) 801-1131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100119515 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Dental Group, S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba ForwardDental Oak Creek
- General Practice Dentistry
- Oak Creek, WI
- NPI 1962150417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1386055903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 W HOWARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211204",
"telephone_number": "414-801-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7955 S MAIN ST",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531541901",
"telephone_number": "414-216-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DIEP",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "100119515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.