Organization Active NPI

Ailan Tran,D.D.S., a Professional Dental Corporation

Doing business as Ailan Dental Care

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1790803310
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43502 Issued in CA
Legal business name
AILAN TRAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION
Doing business as
Ailan Dental Care
Practice address
2042 Tully Rd
San Jose, CA 95122-1357
Phone
(408) 528-7878
NPI assigned
Mar 26, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Vinh Le
Title
Vice President
Phone
(408) 528-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G91512-01MedicaidCA
43502OtherCASTATE LICENCE
516896MedicaidCA
D43502MedicaidCA

Other names 1

  • AILAN DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2042 Tully Rd
San Jose, CA 95122
Phone (408) 528-7878

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790803310",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILAN TRAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-528-7878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91512-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "43502",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516896",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D43502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AILAN DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.