NPIMap

Organization Active NPI

Rick Van Tran, DDS, Inc

  • Dentist
  • Manteca, CA
National Provider Identifier
1407129331
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53036 Issued in CA
Legal business name
RICK VAN TRAN, DDS, INC
Practice address
1007 S Main St
Manteca, CA 95337-5703
Phone
(209) 823-9218
Fax
(209) 823-1134
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Rick Van Tran, D.D.S.
Title
President
Phone
(209) 823-9218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53036 CA Primary

Addresses

Primary practice location

1007 S Main St
Manteca, CA 95337-5703

Mailing address

1007 S Main St
Manteca, CA 95337-5703
Phone (209) 823-9218

Other names 1

  • Manteca Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1007 S Main St
Manteca, CA 95337
Phone (209) 823-9218

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1407129331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-823-9218",
            "fax_number": "209-823-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-823-9218",
            "fax_number": "209-823-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK VAN TRAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-823-9218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manteca Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.