Individual provider Active NPI

Daniel Dzung Tran, D.D.S.

  • Dentist
  • Westminster, CA
National Provider Identifier
1811033814
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51145 Issued in CA
Practice address
10451 Bolsa Ave Ste 110
Westminster, CA 92683-6756
Phone
(714) 839-3636
NPI assigned
Jan 29, 2007
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51145 CA Primary

Addresses

Primary practice location

10451 Bolsa Ave Ste 110
Westminster, CA 92683-6756

Mailing address

15042 Summerwood St
Westminster, CA 92683-5476
Phone (714) 725-2310

Other practice location 1

8181 Bolsa Ave
Midway City, CA 92655-1223
Phone (714) 698-8181

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

LicenseStateTypeSpecialty
51145CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Dzung Tran DDS Inc CurrentSince May 16, 2021 Accepting new patients
Khoa Dai Le DDS Inc Dentist Past Accepting new patients

Locations

10451 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 839-3636

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1811033814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15042 SUMMERWOOD ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835476",
            "telephone_number": "714-725-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 BOLSA AVE STE 110",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836756",
            "telephone_number": "714-839-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8181 Bolsa Ave",
            "address_purpose": "LOCATION",
            "city": "Midway City",
            "state": "CA",
            "postal_code": "926551223",
            "country_code": "US",
            "telephone_number": "714-698-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DANIEL",
        "middle_name": "DZUNG",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.