Active NPI
Mike Minh Tran, DDS
- Dentist
- Long Beach, CA
National Provider Identifier
1649427147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57236
- Practice address
- 6685 Downey Ave
Long Beach, CA 90805-2822 - Phone
- (562) 630-4572
- Fax
- (562) 630-1646
- NPI assigned
- Aug 26, 2008
- Last updated
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 57236 | CA | Primary |
Addresses
Primary practice location
6685 Downey Ave
Long Beach, CA 90805-2822
Mailing address
6685 Downey Ave
Long Beach, CA 90805-2822
Phone (562) 630-4572
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 |
|---|---|---|---|
| 57236 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike Tran DDS, a Professional Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- Long Beach, CA
- NPI 1235439217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1649427147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 DOWNEY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052822",
"telephone_number": "562-630-4572",
"fax_number": "562-630-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6685 DOWNEY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052822",
"telephone_number": "562-630-4572",
"fax_number": "562-630-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MIKE",
"middle_name": "MINH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.