NPIMap

Organization Active NPI

Tien Tran DMD Inc.

  • Dental Clinic/Center
  • Menifee, CA
National Provider Identifier
1609392190
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
63456 Issued in CA
Legal business name
TIEN TRAN DMD INC.
Practice address
28401 Bradley Rd Ste B
Menifee, CA 92586-3040
Phone
(951) 679-6677
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tien Tran, DMD
Title
Owner
Phone
(951) 679-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Dental Clinic/Center 261QD0000X 63456 CA Primary

Addresses

Primary practice location

28401 Bradley Rd Ste B
Menifee, CA 92586-3040

Mailing address

28401 Bradley Rd Ste B
Menifee, CA 92586-3040
Phone (951) 679-6677

National Provider Directory

National Provider Directory

Locations

28401 Bradley Rd
Ste B
Sun City, CA 92586
Phone (951) 679-6677

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609392190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28401 BRADLEY RD STE B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863040",
            "telephone_number": "951-679-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28401 BRADLEY RD STE B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863040",
            "telephone_number": "951-679-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIEN TRAN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-679-6677",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.