Active NPI
Phu K Tran, DDS
- Dentist
- Richardson, TX
National Provider Identifier
1407019979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22716
- Practice address
- 201 S Greenville Ave Ste 108
Richardson, TX 75081-6069 - Phone
- (972) 699-1286
- NPI assigned
- Jul 5, 2008
- Last updated
- Jul 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 22716 | TX | Primary |
Addresses
Primary practice location
201 S Greenville Ave Ste 108
Richardson, TX 75081-6069
Mailing address
206 W Amberway LN
Garland, TX 75040-8803
Phone (214) 293-7961
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 |
|---|---|---|---|
| 22716 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215216000000",
"number": "1407019979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W AMBERWAY LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750408803",
"telephone_number": "214-293-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S GREENVILLE AVE STE 108",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816069",
"telephone_number": "972-699-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHU",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-05",
"last_updated": "2008-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.