Active NPI
Michael Adam Tran, DDS, MS
- Endodontics
- Lawndale, CA
National Provider Identifier
1487061107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 63617
- Practice address
- 16700 Hawthorne Blvd
Lawndale, CA 90260-3243 - Phone
- (310) 921-8409
- NPI assigned
- Jul 15, 2014
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 63617 | CA | Primary |
Addresses
Primary practice location
16700 Hawthorne Blvd
Lawndale, CA 90260-3243
Mailing address
12920 Runway Rd Unit 320
Playa Vista, CA 90094-2394
Phone (949) 702-1133
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63617 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1487061107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 RUNWAY RD UNIT 320",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942394",
"telephone_number": "949-702-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16700 HAWTHORNE BLVD",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603243",
"telephone_number": "310-921-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MICHAEL",
"middle_name": "ADAM",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "63617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawndale, CA
- Thutrang DO, D.O.Inc.
- Tram Pham Pharmd, Inc
- Tram Pham Pharmd, Inc
- Dennis Tran
- Joann Kim Ha Tran
- Transitional Living Centers for Los Angeles County, Inc.
- Transitional Living Centers for Los Angeles County, Inc.
- Transitional Living Centers for Los Angeles County, Inc.
- Transitional Living Centers for Los Angeles County, Inc.
- Mandy Tsan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.