Individual provider Active NPI

Duy Anh Tran, DMD

  • Periodontics
  • Beaverton, OR
National Provider Identifier
1700846896
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7360 Issued in OR
Practice address
14780 SW Osprey Dr
Suite 240 a
Beaverton, OR 97007-8028
Phone
(503) 747-0095
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D7360 OR Primary

Addresses

Primary practice location

14780 SW Osprey Dr
Suite 240 a
Beaverton, OR 97007-8028

Mailing address

14780 SW Osprey Dr
Suite 240 a
Beaverton, OR 97007-8028
Phone (503) 747-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 16, 2026 through Jun 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D7360ORMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periopdx Periodontics Current Accepting new patients

Locations

14780 SW Osprey Dr
Ste 240A
Beaverton, OR 97007
Phone (503) 713-3209

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1700846896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE 240 A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "503-747-0095",
            "fax_number": "503-747-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE 240 A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "503-747-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DUY ANH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.