Individual provider Active NPI

Minh Hong Tran, D.D.S.

  • Dentist
  • Rosemead, CA
National Provider Identifier
1871775858
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 31404 Issued in CA
Practice address
8736 Valley Blvd Ste B
Rosemead, CA 91770-1760
Phone
(626) 571-2324
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE 31404 CA Primary
Dentist 122300000X DE31404 CA

Addresses

Primary practice location

8736 Valley Blvd Ste B
Rosemead, CA 91770-1760

Mailing address

8736 Valley Blvd Ste B
Rosemead, CA 91770-1760
Phone (626) 571-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150316002453 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193042943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 31404CAMDDentist
DE31404CAMDDentist
31404CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1871775858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 VALLEY BLVD STE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701760",
            "telephone_number": "626-571-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 VALLEY BLVD STE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701760",
            "telephone_number": "626-571-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MINH",
        "middle_name": "HONG",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DE 31404",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DE31404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.