Individual provider Active NPI

Johnny H Tran, DDS

  • Dentist
  • Laguna Niguel, CA
National Provider Identifier
1851561989
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54842 Issued in CA
Practice address
28221 Crown Valley Pkwy Ste E
Laguna Niguel, CA 92677-1427
Phone
(949) 542-6468
Fax
(949) 329-1306
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54842 CA Primary

Addresses

Primary practice location

28221 Crown Valley Pkwy Ste E
Laguna Niguel, CA 92677-1427

Mailing address

28221 Crown Valley Pkwy Ste E
Laguna Niguel, CA 92677-1427
Phone (949) 542-6468

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
54842CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1851561989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28221 CROWN VALLEY PKWY STE E",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771427",
            "telephone_number": "949-542-6468",
            "fax_number": "949-329-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28221 CROWN VALLEY PKWY STE E",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771427",
            "telephone_number": "949-542-6468",
            "fax_number": "949-329-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHNNY",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.