Organization Active NPI

Pham & Tran Dental Corp

  • Dental Clinic/Center
  • Irvine, CA
National Provider Identifier
1700446812
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PHAM & TRAN DENTAL CORP
Doing business as
Two Front Teeth
Two Front Teeth Family Dentistry
Practice address
4200 Trabuco Rd Ste 110
Irvine, CA 92620-3617
Phone
(949) 559-1178
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nam Hoang Tran, DDS
Title
President
Phone
(949) 559-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4200 Trabuco Rd Ste 110
Irvine, CA 92620-3617

Mailing address

4200 Trabuco Rd Ste 110
Irvine, CA 92620-3617

Other names 2

  • Two Front Teeth Doing business as
  • Two Front Teeth Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Trabuco Rd
Ste 110
Irvine, CA 92620
Phone (949) 559-1178

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1700446812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203617",
            "telephone_number": "949-559-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM & TRAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-559-1178",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Front Teeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Two Front Teeth Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.