Active NPI
Tram Truong Hall, D.D.S.
- General Practice Dentistry
- San Juan Capistrano, CA
National Provider Identifier
1427275478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48862
- Practice address
- 30220 Rancho Viejo Rd Ste D
San Juan Capistrano, CA 92675-1568 - Phone
- (949) 443-2300
- Fax
- (949) 443-2323
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48862 | CA | Primary |
Addresses
Primary practice location
30220 Rancho Viejo Rd Ste D
San Juan Capistrano, CA 92675-1568
Mailing address
30220 Rancho Viejo Rd Ste D
San Juan Capistrano, CA 92675-1568
Phone (949) 443-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1611808 | Other | CA | UNITED CONCORDIA PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 3, 2016 through Aug 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48862 | CA | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427275478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30220 RANCHO VIEJO RD STE D",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751568",
"telephone_number": "949-443-2300",
"fax_number": "949-443-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30220 RANCHO VIEJO RD STE D",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751568",
"telephone_number": "949-443-2300",
"fax_number": "949-443-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TRAM",
"middle_name": "TRUONG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "1611808",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.