Kim Tran DDS, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

47194 Issued in CA

Legal business name

KIM TRAN DDS, INC.

Practice address

263 Academy Ave
Sanger, CA 93657

Phone

(559) 876-1031

Fax

(559) 899-3091

NPI assigned

Jun 27, 2012

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loy Tan Nguyen

Title

Office Manager

Phone

(559) 876-1031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Hoang Tran, D.D.S.

  • Dentist
  • Sanger, CA
  • NPI 1063511509
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1780948430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "93657",
            "telephone_number": "559-876-1031",
            "fax_number": "559-899-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "93657",
            "telephone_number": "559-876-1031",
            "fax_number": "559-899-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM TRAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LOY",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-876-1031"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "47194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianna Kebo, OD
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• Katie Kennedy
• Brandon Kim
• Donghwan Kim, DDS
• Stephanie Michelle King, M.S., R.D.
• Kings View
• Larry Kebo, OD, Inc

• Health Maintenance Organization in Sanger, CA
• Providers in Sanger, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.