Active NPI
Thuy T Tran, DDS
- General Practice Dentistry
- Apple Valley, CA
National Provider Identifier
1659415339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109674
- Practice address
- 18245 US Highway 18
Apple Valley, CA 92307-2217 - Phone
- (760) 242-2977
- Fax
- (409) 744-4541
- NPI assigned
- Feb 16, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109674 | CA | Primary |
Addresses
Primary practice location
18245 US Highway 18
Apple Valley, CA 92307-2217
Mailing address
18245 US Highway 18
Apple Valley, CA 92307-2217
Phone (760) 242-2977
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 |
|---|---|---|---|
| 109674 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1659415339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18245 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072217",
"telephone_number": "760-242-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18245 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072217",
"telephone_number": "760-242-2977",
"fax_number": "409-744-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THUY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.