Organization Active NPI

Binh T. Tran DDS, PS

  • Dentist
  • Federal Way, WA
National Provider Identifier
1811926173
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6403 Issued in WA
Legal business name
BINH T. TRAN DDS, PS
Practice address
1014 S 320TH St
Suite E
Federal Way, WA 98003-5344
Phone
(253) 529-0123
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Ms. Jennie Phan
Title
Office Manager
Phone
(253) 529-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6403 WA Primary

Addresses

Primary practice location

1014 S 320TH St
Suite E
Federal Way, WA 98003-5344

Mailing address

1014 S 320TH St
Suite E
Federal Way, WA 98003-5344
Phone (253) 529-0123

Other identifiers 1

IdentifierTypeStateIssuer
5011739MedicaidWA

Other names 1

  • Comfort Dental Other name

National Provider Directory

National Provider Directory

Locations

1014 S 320th St
Ste E
Federal Way, WA 98003
Phone (253) 529-0123

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1811926173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S 320TH ST",
            "address_2": "SUITE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035344",
            "telephone_number": "253-529-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S 320TH ST",
            "address_2": "SUITE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035344",
            "telephone_number": "253-529-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINH T. TRAN DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-529-0123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5011739",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.