Orange County Dental Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40035 Issued in CA

Legal business name

ORANGE COUNTY DENTAL PRACTICE

Practice address

13309 Brookhurst St
Garden Grove, CA 92843-3117

Phone

(714) 537-3769

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Phat TranNPI 1184847162

Title

DMD

Phone

(714) 537-3769

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Phat Tran, DMD

  • Dentist
  • Garden Grove, CA
  • NPI 1184847162
  NPD (past) Authorized official
• Diane Tran, DDS

  • Dentist
  • Garden Grove, CA
  • NPI 1770618308
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407058860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433117",
            "telephone_number": "714-537-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13309 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433117",
            "telephone_number": "714-537-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHAT",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "714-537-3769"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Asian and Pacific Islander Community Alliance Inc
• Orange County Asian and Pacific Islander Community Alliance, Inc.
• Orange County Asian and Pacific Islander Community Alliance, Inc.
• Orange County Asian and Pacific Islander Community Alliance, Inc.
• Orange County Asian and Pacific Islander Community Alliance, Inc.
• Orange County Halfway House, Inc.
• Orange County Joeun Medical Group Inc
• Orange County Ophthalmology Medical Group
• Orange County Ophthalmology Medical Group
• Orange County Vascular Access, a Medical Corporation

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.