Organization Active NPI

Tran, D.D.S., PC

  • Dentist
  • San Diego, CA
National Provider Identifier
1811393598
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46993 Issued in CA
Legal business name
TRAN, D.D.S., PC
Practice address
4365 Meade Ave
San Diego, CA 92116-4816
Phone
(619) 550-1491
Fax
(619) 255-5437
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Dr. Pauline Phuong Tran, D.D.S
Title
Ceo
Phone
(619) 550-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46993 CA Primary

Addresses

Primary practice location

4365 Meade Ave
San Diego, CA 92116-4816

Mailing address

4365 Meade Ave
San Diego, CA 92116-4816
Phone (619) 550-1491

National Provider Directory

National Provider Directory

Locations

4365 Meade Ave
San Diego, CA 92116
Phone (619) 550-1491

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1811393598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 MEADE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164816",
            "telephone_number": "619-550-1491",
            "fax_number": "619-255-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 MEADE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164816",
            "telephone_number": "619-550-1491",
            "fax_number": "619-255-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-550-1491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.