Organization Active NPI

Nguyen & Tran Dental Corporation

Doing business as Dale Family Dental

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1417072729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45991 Issued in CA
Legal business name
NGUYEN & TRAN DENTAL CORPORATION
Doing business as
Dale Family Dental
Practice address
4048 Dale Rd
Suite 203
Modesto, CA 95356-9505
Phone
(209) 543-6070
Fax
(209) 545-7890
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Hung Tran, D.D.S.
Title
President
Phone
(209) 543-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45991 CA Primary

Addresses

Primary practice location

4048 Dale Rd
Suite 203
Modesto, CA 95356-9505

Mailing address

4048 Dale Rd
Suite 203
Modesto, CA 95356-9505
Phone (209) 543-6070

Other names 1

  • Dale Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4048 Dale Rd
Ste 203
Modesto, CA 95356
Phone (209) 543-6070

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417072729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 DALE RD",
            "address_2": "SUITE 203",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569505",
            "telephone_number": "209-543-6070",
            "fax_number": "209-545-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DALE RD",
            "address_2": "SUITE 203",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569505",
            "telephone_number": "209-543-6070",
            "fax_number": "209-545-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN & TRAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-543-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • 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.