Vy Bao Tran

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11658 Issued in OR

Practice address

2820 Gateway St Ste Mt110
Springfield, OR 97477-7754

Phone

(541) 747-9400

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1619609880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GATEWAY ST STE MT110",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GATEWAY ST STE MT110",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777754",
            "telephone_number": "541-747-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Valley River Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012159",
            "country_code": "US",
            "telephone_number": "541-579-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VY",
        "middle_name": "BAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Torres
• Madison Touchstone
• Decker Morgan Tovey
• Heather Young Townsend, CSWA, CADC1
• Andrea Mae Trader, LMT
• Mark Tranby, DMD
• Amber Michelle Travis, P.A.
• Brooklynne Olds Travis, CNM, DNP
• Treehouse Kids Dentist
• Susan Margaret Trefts, MSW, LCSW

• General Practice Dentistry in Springfield, OR
• Providers in Springfield, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.