Bo Dinh Tran, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011550 Issued in AZ

Practice address

17710 W Elliot Rd
Goodyear, AZ 85338-9000

Phone

(623) 267-1267

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Arizona Dental Professionals, P.C.

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1326781964
  NPD
• Excel Dental PLLC

  • Dentist
  • Oklahoma City, OK
  • NPI 1194949586
  NPD (past)
• Excel Dentistry and Braces

  • Dental Clinic/Center
  • Oklahoma City, OK
  • NPI 1063992121
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1669041877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29968 N 71ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17710 W ELLIOT RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389000",
            "telephone_number": "623-267-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BO",
        "middle_name": "DINH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7491",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Salud LLC
• Touch of Vein LLC
• Henderson Touw, L.AC.
• Arlette Townsend
• Barbara Tran
• Dat T Tran, M.D.
• Julie Thu Trang Tran
• Taylor Tam Tran, AU.D
• Trauma Recovery Services of Arizona, PLLC
• Nicholas Brusstar Travers, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.