NPIMap

Organization Active NPI

Tan, DDS and Tran, DDS, Inc

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1407191810
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
53108 Issued in CA
Legal business name
TAN, DDS AND TRAN, DDS, INC
Practice address
151 S Mednik Ave
Los Angeles, CA 90022-1606
Phone
(323) 263-3303
NPI assigned
Dec 11, 2012
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Mintra Tan, DDSNPI 1821249426
Title
Cfo
Phone
(323) 263-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 53108 CA Primary

Addresses

Primary practice location

151 S Mednik Ave
Los Angeles, CA 90022-1606

Mailing address

151 S Mednik Ave
Los Angeles, CA 90022-1606
Phone (323) 263-3303

National Provider Directory

National Provider Directory

Locations

151 S Mednik Ave
Los Angeles, CA 90022
Phone (310) 384-0832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1407191810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S MEDNIK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-263-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S MEDNIK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-263-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN, DDS AND TRAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "MINTRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-263-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.