Organization Active NPI

Duyen Tran DMD PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1730342825
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22149 Issued in TX
Legal business name
DUYEN TRAN DMD PLLC
Practice address
2417 Park Hill Dr
Ste B
Fort Worth, TX 76110-2200
Phone
(817) 921-2900
Fax
(817) 921-2902
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Duyen Tran, DMDNPI 1508915315
Title
President
Phone
(817) 921-2900

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22149 TX Primary

Addresses

Primary practice location

2417 Park Hill Dr
Ste B
Fort Worth, TX 76110-2200

Mailing address

2417 Park Hill Dr
Ste B
Fort Worth, TX 76110-2200
Phone (817) 921-2900

Other identifiers 1

IdentifierTypeStateIssuer
183342801MedicaidTX

National Provider Directory

National Provider Directory

Locations

2417 Park Hill Dr
Ste B
Fort Worth, TX 76110
Phone (817) 921-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1730342825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 PARK HILL DR",
            "address_2": "STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102200",
            "telephone_number": "817-921-2900",
            "fax_number": "817-921-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 PARK HILL DR",
            "address_2": "STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102200",
            "telephone_number": "817-921-2900",
            "fax_number": "817-921-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUYEN TRAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-921-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183342801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.