Active NPI
Luan Tran, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1679279863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019035295
- Practice address
- 852 N Western Ave
Chicago, IL 60622-4638 - Phone
- (773) 661-0330
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 019035295 | IL | Primary |
Addresses
Primary practice location
852 N Western Ave
Chicago, IL 60622-4638
Mailing address
1725 N Halsted St Apt 3
Chicago, IL 60614-5559
Phone (949) 276-1235
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1679279863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 N HALSTED ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145559",
"telephone_number": "949-276-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224638",
"telephone_number": "773-661-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LUAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019035295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.