Active NPI
Mya Tran, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1457705766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5594
- Practice address
- 1102 NE 82ND Ave
Portland, OR 97220-5701 - Phone
- (503) 408-8927
- NPI assigned
- Apr 22, 2016
- Last updated
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5594 | OR | Primary |
Addresses
Primary practice location
1102 NE 82ND Ave
Portland, OR 97220-5701
Mailing address
2634 NE 92ND Ave
Portland, OR 97220-5363
Phone (503) 254-5238
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 |
|---|---|---|---|
| H5594 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Dental Care P.C. | Past | Accepting new patients | |
| Mva Dental LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Portland, OR
- NPI 1962337998
-
- General Practice Dentistry
- Portland, OR
- NPI 1245449164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1457705766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2634 NE 92ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205363",
"telephone_number": "503-254-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 NE 82ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205701",
"telephone_number": "503-408-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MYA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.