NPIMap

Organization Active NPI

Phuoc Thien Louis Tran DDS Inc.

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1497737506
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48690 Issued in CA
Legal business name
PHUOC THIEN LOUIS TRAN DDS INC.
Practice address
715 N Chester Ave
Bakersfield, CA 93308-3510
Phone
(661) 399-5788
Fax
(661) 399-4998
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Phuoc T Tran, DDS
Title
President
Phone
(661) 399-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48690 CA Primary

Addresses

Primary practice location

715 N Chester Ave
Bakersfield, CA 93308-3510

Mailing address

715 N Chester Ave
Bakersfield, CA 93308-3510
Phone (661) 399-5788

Other names 1

  • Smile Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B Town Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

715 N Chester Ave
Bakersfield, CA 93308
Phone (661) 399-5788

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1497737506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933083510",
            "telephone_number": "661-399-5788",
            "fax_number": "661-399-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933083510",
            "telephone_number": "661-399-5788",
            "fax_number": "661-399-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUOC THIEN LOUIS TRAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHUOC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-399-5788",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.