Active NPI
Mai Uyen T Tran, D.D.S
- Pediatric Dentistry
- Vacaville, CA
National Provider Identifier
1790988004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 54034
- Practice address
- 1360 Burton Dr
Suite 120
Vacaville, CA 95687-3557 - Phone
- (707) 685-9819
- NPI assigned
- Jun 6, 2007
- Last updated
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 54034 | CA | Primary |
Addresses
Primary practice location
1360 Burton Dr
Suite 120
Vacaville, CA 95687-3557
Mailing address
1360 Burton Dr
Suite 120
Vacaville, CA 95687-3557
Phone (707) 685-9819
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 |
|---|---|---|---|
| 54034 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1790988004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 BURTON DR",
"address_2": "SUITE 120",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873557",
"telephone_number": "707-685-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 BURTON DR",
"address_2": "SUITE 120",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873557",
"telephone_number": "707-685-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAI UYEN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "54034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.