Individual provider Active NPI

Uyen C Tran, D.D.S.

  • General Practice Dentistry
  • Auburn, WA
National Provider Identifier
1427133495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9410 Issued in WA
Practice address
902 A St SE
Suite a
Auburn, WA 98002-6056
Phone
(253) 288-9608
Fax
(253) 288-9631
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9410 WA Primary

Addresses

Primary practice location

902 A St SE
Suite a
Auburn, WA 98002-6056

Mailing address

702 SW 294TH St
Federal Way, WA 98023-3542
Phone (206) 790-0223

Other identifiers 2

IdentifierTypeStateIssuer
1452609OtherWAUNITED CONCORDIA
5040647MedicaidWA

Other names 1

  • Sam C Tran Other name

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

LicenseStateTypeSpecialty
9410WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A Street Dental Clinic General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427133495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 294TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980233542",
            "telephone_number": "206-790-0223",
            "fax_number": "253-288-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 A ST SE",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026056",
            "telephone_number": "253-288-9608",
            "fax_number": "253-288-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "UYEN",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1452609",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040647",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "TRAN",
            "middle_name": "C",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.