Kevin Tran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103122 Issued in CA

Practice address

11035 Long Beach Blvd Ste 5
Lynwood, CA 90262-2570

Phone

(310) 945-2704

NPI assigned

Sep 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1770067571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 OVERLAND AVE APT 6114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344515",
            "telephone_number": "805-298-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 LONG BEACH BLVD STE 5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622570",
            "telephone_number": "310-945-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Toscano
• Total Education Solutions
• Total Renal Care Inc
• Tiffani Trishae Trammell
• Bao-Ngoc M Tran
• Kimoanh Tran, PHYSICIAN ASSISTANT
• Raymond Kim Tran, M.D.
• Paola Ruby Trejo, RDA
• Wilbur Troutman, M.D.
• Jorge Luis Trujillo

• General Practice Dentistry in Lynwood, CA
• Providers in Lynwood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.