Active NPI
Justin Tran, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1437628351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103003
- Practice address
- 180 El Paseo de Saratoga
San Jose, CA 95130-1615 - Phone
- (408) 370-0101
- NPI assigned
- Nov 20, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 103003 | CA | Primary |
Addresses
Primary practice location
180 El Paseo de Saratoga
San Jose, CA 95130-1615
Mailing address
3308 Bien Way
San Jose, CA 95148-2109
Phone (408) 207-7841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103003 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1437628351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 BIEN WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482109",
"telephone_number": "408-207-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 EL PASEO DE SARATOGA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951301615",
"telephone_number": "408-370-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JUSTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.