Organization Active NPI

Trong T. Tran, D.D.S., Inc.

  • Dentist
  • San Jose, CA
National Provider Identifier
1801119227
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D41317 Issued in CA
Legal business name
TRONG T. TRAN, D.D.S., INC.
Practice address
88 Tully Rd
Suite #108
San Jose, CA 95111-1923
Phone
(408) 292-5888
Fax
(408) 292-7480
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Miss Trong Tu Tran, D.D.S.
Title
Owner
Phone
(408) 292-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D41317 CA Primary

Addresses

Primary practice location

88 Tully Rd
Suite #108
San Jose, CA 95111-1923

Mailing address

88 Tully Rd
Suite #108
San Jose, CA 95111-1923
Phone (408) 292-5888

Other identifiers 1

IdentifierTypeStateIssuer
G92113OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

88 Tully Rd
Ste 108
San Jose, CA 95111
Phone (408) 270-4849

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1801119227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TULLY RD",
            "address_2": "SUITE #108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-292-5888",
            "fax_number": "408-292-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TULLY RD",
            "address_2": "SUITE #108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-292-5888",
            "fax_number": "408-292-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRONG T. TRAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRONG",
        "authorized_official_middle_name": "TU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-292-5888",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D41317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "G92113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 12, 2010; 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.