Individual provider Active NPI

Darlene Tran, DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1518157312
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42196 Issued in CA
Practice address
1936 E Deere Ave Ste 130
Santa Ana, CA 92705-5732
Phone
(949) 567-3116
Fax
(866) 666-9677
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42196 CA Primary

Addresses

Primary practice location

1936 E Deere Ave Ste 130
Santa Ana, CA 92705-5732

Mailing address

1936 E Deere Ave Ste 130
Santa Ana, CA 92705-5732
Phone (949) 567-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160620002064 CA Order and Referring Only - DentistPractitioner - Dentist 6305137456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42196CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1518157312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E DEERE AVE STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055732",
            "telephone_number": "949-567-3116",
            "fax_number": "866-666-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 E DEERE AVE STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055732",
            "telephone_number": "949-567-3116",
            "fax_number": "866-666-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DARLENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.