Individual provider Active NPI

Jennifer Tran, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1487221263
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37247 Issued in TX
Practice address
1921 Preston Rd Ste 2010
Plano, TX 75093-5200
Phone
(972) 380-9591
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7224 LA
Dentist 122300000X 37247 TX Primary

Addresses

Primary practice location

1921 Preston Rd Ste 2010
Plano, TX 75093-5200

Mailing address

1921 Preston Rd Ste 2010
Plano, TX 75093-5200
Phone (972) 380-9591

Other practice location 1

4100 S Ridge Rd Apt 103
McKinney, TX 75070-1708
Phone (972) 833-8083

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

LicenseStateTypeSpecialty
37247TXMDDentist
7224LAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1487221263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD STE 2010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935200",
            "telephone_number": "972-380-9591",
            "fax_number": "972-380-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD STE 2010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935200",
            "telephone_number": "972-380-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 S Ridge Rd Apt 103",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701708",
            "country_code": "US",
            "telephone_number": "972-833-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7224",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.