Organization Active NPI

Roger Tran DDS Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1578738548
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49874 Issued in CA
Legal business name
ROGER TRAN DDS INC.
Practice address
3780 El Cajon Blvd
Unit #1
San Diego, CA 92105-1080
Phone
(619) 265-2467
Fax
(619) 265-2196
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Justene Thuy Doan, D.D.S.
Title
Doctor
Phone
(619) 265-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 49874 CA Primary

Addresses

Primary practice location

3780 El Cajon Blvd
Unit #1
San Diego, CA 92105-1080

Mailing address

3780 El Cajon Blvd
Unit #1
San Diego, CA 92105-1080
Phone (619) 265-2467

Other names 1

  • A Plus Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

3780 El Cajon Blvd
Unit 1
San Diego, CA 92105
Phone (619) 265-2467

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1578738548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 EL CAJON BLVD",
            "address_2": "UNIT #1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051080",
            "telephone_number": "619-265-2467",
            "fax_number": "619-265-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 EL CAJON BLVD",
            "address_2": "UNIT #1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051080",
            "telephone_number": "619-265-2467",
            "fax_number": "619-265-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER TRAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "JUSTENE",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "619-265-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.