Active NPI
Peter Tran, DMD
- Dentist
- Cypress, TX
National Provider Identifier
1619424561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32372
- Practice address
- 11403 Barker Cypress Rd Ste 1300
Cypress, TX 77433-5425 - Phone
- (281) 721-9575
- NPI assigned
- Sep 8, 2016
- Last updated
- Aug 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32372 | TX | Primary |
Addresses
Primary practice location
11403 Barker Cypress Rd Ste 1300
Cypress, TX 77433-5425
Mailing address
11403 Barker Cypress Rd Ste 1300
Cypress, TX 77433-5425
Phone (281) 721-9575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32372 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 28 Smile, LLC | Dentist | Current | Accepting new patients |
| FB Dental, PLLC | Current | Accepting new patients | |
| Jonathan Penchas D.M.D.,M.Ed., PA. | Past | Accepting new patients |
Locations
11403 Barker Cypress Rd
Ste 1300
Cypress, TX 77433
Phone (281) 721-9575
8380 Fairbanks N Houston Rd
Houston, TX 77064
Phone (713) 466-8910
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1619424561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11403 BARKER CYPRESS RD STE 1300",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335425",
"telephone_number": "281-721-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11403 BARKER CYPRESS RD STE 1300",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335425",
"telephone_number": "281-721-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.