Tran & Phan, a Professional Dental Coporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4566 Issued in CA

Legal business name

TRAN & PHAN, A PROFESSIONAL DENTAL COPORATION

Practice address

8188 Sierra Ave
Suite H
Fontana, CA 92335-3575

Phone

(909) 434-0865

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Thanh Tran, D.M.DNPI 1093831893

Title

President

Phone

(310) 408-2463

Specialties & licenses 1

Addresses

Other names 1

• SKY FAMILY DENTAL GROUP Doing business as

Locations

Practitioners 2

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

• Kevin Thanh Tran, D.M.D

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1093831893
  NPD (past) Authorized official
• Diane Phan, DDS

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1902923642
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851512271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 SIERRA AVE",
            "address_2": "SUITE H",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353575",
            "telephone_number": "909-434-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 SIERRA AVE",
            "address_2": "SUITE H",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353575",
            "telephone_number": "909-434-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN & PHAN, A PROFESSIONAL DENTAL COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-408-2463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKY FAMILY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Toumah, RDN
• Alexis Uriel Tovar
• Kyle Blake Towne, PHARMD
• Vanessa Towns
• Alphos Nobusumi Toyotome, PHARM D.
• An Thi Thuy Tran, MD
• Anna Tran, DO
• Christine Tran, M.D.
• Danny Nam Tran, D.C.
• Diana Nhung Tran, M.D.

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.