Active NPI
Ailan Tran, D.D.S.
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1720106305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43502
- Practice address
- 2042 Tully Rd
San Jose, CA 95122-1357 - Phone
- (408) 528-7878
- Fax
- (408) 528-7788
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43502 | CA | Primary |
Addresses
Primary practice location
2042 Tully Rd
San Jose, CA 95122-1357
Mailing address
2042 Tully Rd
San Jose, CA 95122-1357
Phone (408) 528-7878
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516896 | Medicaid | CA | |
| D43502 | Medicaid | CA | |
| G91512-01 | Medicaid | CA | |
| 43502 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43502 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ailan Tran, D.D.S., a Professional Dental Corporation | General Practice | Current | Accepting new patients |
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.
-
- General Practice Dentistry
- Campbell, CA
- NPI 1245516517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1720106305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 TULLY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221357",
"telephone_number": "408-528-7878",
"fax_number": "408-528-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2042 TULLY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221357",
"telephone_number": "408-528-7878",
"fax_number": "408-528-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "AILAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "516896",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D43502",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G91512-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "43502",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.