Active NPI
Trong T. Tran, D.D.S., Inc.
- Dentist
- San Jose, CA
National Provider Identifier
1801119227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D41317
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G92113 | Other | CA | MEDI-CAL |
National Provider Directory
National Provider DirectoryLocations
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.