Individual provider Active NPI

Hanh Truong Tran

  • Endodontics
  • Hudson, NH
National Provider Identifier
1437648052
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
04638 Issued in NH
Practice address
182 Central St
Hudson, NH 03051-4651
Phone
(603) 882-5455
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12684 CT
Student in an Organized Health Care Education/Training Program 390200000X 12217 CT
Endodontics 1223E0200X 04638 NH Primary

Addresses

Primary practice location

182 Central St
Hudson, NH 03051-4651

Mailing address

23B Chandler CT
Hudson, NH 03051-6901
Phone (857) 389-0308

Other practice location 1

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802001605 CT Order and Referring Only - DentistPractitioner - Dentist 1951659242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04638NHMDEndodontist
12684CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Endodontics of NH Endodontics CurrentSince Oct 29, 2023 Accepting new patients
Hudson Endodontics, P.C. Endodontics PastSince Jul 25, 2021 Accepting new patients

Locations

182 Central St
Hudson, NH 03051
Phone (603) 882-5455

Organizations & group practices 2

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1437648052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23B CHANDLER CT",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030516901",
            "telephone_number": "857-389-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 CENTRAL ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514651",
            "telephone_number": "603-882-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06030",
            "country_code": "US",
            "telephone_number": "860-679-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HANH TRUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12684",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "12217",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "04638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

Verify at the official NPI Registry.