Active NPI
David Khuong Tran, D.M.D.
- Endodontics
- Wayne, NJ
National Provider Identifier
1821275694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22DI02174300
- Practice address
- 600 Valley Rd
Suite 107
Wayne, NJ 07470-3535 - Phone
- (973) 633-0097
- Fax
- (973) 633-5029
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22DI02174300 | NJ | Primary |
Addresses
Primary practice location
600 Valley Rd
Suite 107
Wayne, NJ 07470-3535
Mailing address
7100 Kennedy Blvd E
Apt. 12K
Guttenberg, NJ 07093-4717
Phone (201) 662-0977
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02174300 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1821275694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 KENNEDY BLVD E",
"address_2": "APT. 12K",
"city": "GUTTENBERG",
"state": "NJ",
"postal_code": "070934717",
"telephone_number": "201-662-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"address_2": "SUITE 107",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-633-0097",
"fax_number": "973-633-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DAVID",
"middle_name": "KHUONG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI02174300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
- Andrea Torres, APN
- Jorge L Torres, MA, BCBA
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- Township of Wayne
- TR Medical Group LLC
- Greg Steven Trentacosta, D.C.
- Ashley Beth Tress, M.S. CCC-SLP
- Tri County Home Care LLC (BrightStar Care of Wayne)
- Tri-State Healthcare Management LLC (Lakeview Rehabilitation and Care Center)
- Tri-State Healthcare Management LLC (Lakeview Rehabilitation And Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.