Nicholas Tran, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011532 Issued in AZ

Practice address

13410 E Mary Ann Cleveland Way
Vail, AZ 85641-8613

Phone

(520) 316-0613

NPI assigned

Jul 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentists of Vail, LLP

  • Dentist
  • Vail, AZ
  • NPI 1457814063
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1619603933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 E MARY ANN CLEVELAND WAY",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 E MARY ANN CLEVELAND WAY",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418613",
            "telephone_number": "520-316-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sycamore Speech Therapy, PLLC
• Jeremy L Tanner, DMD
• Melanie Tarasisi
• The Therapuetic Art of Horsemanship
• Sandra Samuelson Thompson, PH.D.
• Aimee Uebersetzig
• United Community Health Center - Maria Auxiliadora, Inc.
• United Community Health Center-Maria Auxiliadora, Inc.
• Johanna Renee Urquijo, ATC
• Vail Counseling LLC

• Dentist in Vail, AZ
• Providers in Vail, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.