Individual provider Active NPI

Brian Binh Trinh, D.D.S.

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1720085194
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45626 Issued in CA
Practice address
1624 Franklin St
Ste 910
Oakland, CA 94612-2824
Phone
(510) 836-4811
Fax
(510) 836-2338
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45626 CA Primary

Addresses

Primary practice location

1624 Franklin St
Ste 910
Oakland, CA 94612-2824

Mailing address

1624 Franklin St
Ste 910
Oakland, CA 94612-2824
Phone (510) 836-4811

Other identifiers 1

IdentifierTypeStateIssuer
B45626OtherCADENTICAL ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602000017 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779744255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45626CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1720085194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "STE 910",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122824",
            "telephone_number": "510-836-4811",
            "fax_number": "510-836-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "STE 910",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122824",
            "telephone_number": "510-836-4811",
            "fax_number": "510-836-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "BRIAN",
        "middle_name": "BINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL ID",
            "identifier": "B45626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.