Active NPI
Cecilia Thanh-Duyen Tran, DDS
- General Practice Dentistry
- Puyallup, WA
National Provider Identifier
1699455022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE6145407
- Practice address
- 8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856 - Phone
- (253) 848-2331
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- 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 | DE6145407 | WA | Primary |
Addresses
Primary practice location
8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856
Mailing address
20015 104TH PL SE
Kent, WA 98031-1563
Phone (253) 486-4321
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 |
|---|---|---|---|
| DE6145407 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1699455022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20015 104TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980311563",
"telephone_number": "253-486-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 112TH STREET CT E STE 320",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737856",
"telephone_number": "253-848-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "CECILIA",
"middle_name": "THANH-DUYEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE6145407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.