Individual provider Active NPI

Dung Tran, D.D.S.

  • General Practice Dentistry
  • Monterey, CA
National Provider Identifier
1548464191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40503 Issued in CA
Practice address
243 El Dorado St Ste 101
Monterey, CA 93940-2914
Phone
(831) 647-1200
Fax
(831) 648-8065
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 40503 CA Primary

Addresses

Primary practice location

243 El Dorado St Ste 101
Monterey, CA 93940-2914

Mailing address

243 El Dorado St Ste 101
Monterey, CA 93940-2914
Phone (831) 647-1200

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
I20240220001130 CA Order and Referring Only - DentistPractitioner - Dentist 8527402452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: dtran330455@direct.ochin.org
  • Direct secure messaging: dung.tran@sjffcc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548464191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 EL DORADO ST STE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402914",
            "telephone_number": "831-647-1200",
            "fax_number": "831-648-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 EL DORADO ST STE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402914",
            "telephone_number": "831-647-1200",
            "fax_number": "831-648-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.