Organization Active NPI

Kim and Tran Dental Corp

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1639066699
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIM AND TRAN DENTAL CORP
Practice address
8540 S Sepulveda Blvd Ste 702
Los Angeles, CA 90045-3829
Phone
(310) 641-4455
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Kenneth Tran, DDSNPI 1013678192
Title
President
Phone
(678) 964-4969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 702
Los Angeles, CA 90045-3829

Mailing address

8540 S Sepulveda Blvd Ste 702
Los Angeles, CA 90045-3829
Phone (310) 641-4455

National Provider Directory

National Provider Directory

Locations

8540 S Sepulveda Blvd
Ste 702
Los Angeles, CA 90045
Phone (310) 641-4455

Practitioners & affiliated clinicians

Practitioners 1

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": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1639066699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453829",
            "telephone_number": "310-641-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453829",
            "telephone_number": "310-641-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND TRAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-964-4969",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.