Kenny C. Tran, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10890 Issued in OR

Practice address

1320 N Highway 377 Ste 100
Roanoke, TX 76262-9131

Phone

(817) 345-0695

NPI assigned

Aug 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Hills Modern Dentistry, PC

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1043724917
  NPD (past) Authorized official
• Roanoke Dental Group,PC

  • Dentist
  • Roanoke, TX
  • NPI 1952760050
  NPD (past)

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1396223954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHATEAUS DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194591",
            "telephone_number": "503-928-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N HIGHWAY 377 STE 100",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629131",
            "telephone_number": "817-345-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KENNY",
        "middle_name": "C.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10890",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TCR Chiropractic and Wellness, LLC
• Tex Cole
• Aminidhan D Thakkar, MD
• Scott Eugene Thomas, OTR
• Kim Tong
• Valerie Kay Travis Horne, LPC-SUPERVISOR
• Trinity Medtransport
• Trophy Home Healthcare LLC
• Turnwheel, LLC
• Valentine Physical Therapy, LLC

• General Practice Dentistry in Roanoke, TX
• Providers in Roanoke, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.