Organization Active NPI

Vista Kids Dental PC

  • Pediatric Dentistry
  • Vista, CA
National Provider Identifier
1710867049
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
VISTA KIDS DENTAL PC
Practice address
1235 W Vista Way Ste F
Vista, CA 92083-6234
Phone
(817) 718-3210
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Tuong Tran Ta, DDSNPI 1407145287
Title
Dentist
Phone
(817) 718-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

1235 W Vista Way Ste F
Vista, CA 92083-6234

Mailing address

3980 Highland Dr
Carlsbad, CA 92008-3511
Phone (817) 718-3210

National Provider Directory

National Provider Directory

Locations

1235 W Vista Way
Ste F
Vista, CA 92083
Phone (760) 940-0366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1710867049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 HIGHLAND DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083511",
            "telephone_number": "817-718-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836234",
            "telephone_number": "817-718-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA KIDS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "TUONG",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-718-3210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.