Active NPI
Vista Kids Dental PC
- Pediatric Dentistry
- Vista, CA
National Provider Identifier
1710867049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tuong Tran Ta, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Colleyville, TX
- NPI 1407145287
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
- Vista Community Clinic - Women's Center
- Vista Family Dental
- Vista Family Health Center,a Medical Corporation
- Vista Hospice Care Inc
- Vista Immediate Care
- Vista Medical Equipment
- Vista Medical Investors LTD Partnership (Life Care Center of Vista)
- Vista Optometric Center
- Vista Physical Therapy and Rehab PC
- Vista Post Acute Center LLC (Astor Healthcare Center)
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.