Active NPI
Binh Ngoc Tran, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elk Grove, CA
National Provider Identifier
1679639454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 53279
- Practice address
- 5105 Laguna Blvd
Suite 4
Elk Grove, CA 95758-5260 - Phone
- (916) 684-3333
- Fax
- (916) 684-2960
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 53279 | CA | Primary |
Addresses
Primary practice location
5105 Laguna Blvd
Suite 4
Elk Grove, CA 95758-5260
Mailing address
1129 Souza Way
Folsom, CA 95630-7315
Phone (916) 984-4897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000509 | CA | Order and Referring Only - Oral Surgery | 0547564858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53279 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1679639454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 SOUZA WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307315",
"telephone_number": "916-984-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 LAGUNA BLVD",
"address_2": "SUITE 4",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585260",
"telephone_number": "916-684-3333",
"fax_number": "916-684-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "BINH",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "53279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.