Active NPI
Tracey Mong Tran, DMD
- Dentist
- Providence, RI
National Provider Identifier
1730828559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859754
- Practice address
- 830 Chalkstone Ave
Providence, RI 02908-4799 - Phone
- (401) 457-3018
- NPI assigned
- May 31, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859754 | MA | Primary |
Addresses
Primary practice location
830 Chalkstone Ave
Providence, RI 02908-4799
Mailing address
24 Redland St
Shrewsbury, MA 01545-4373
Phone (774) 287-3566
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859754 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1730828559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 REDLAND ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015454373",
"telephone_number": "774-287-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084799",
"telephone_number": "401-457-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRACEY",
"middle_name": "MONG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.