Individual provider Active NPI

Dennis Tran, DDS

  • Endodontics
  • Conroe, TX
National Provider Identifier
1891046090
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
29777 Issued in TX
Practice address
2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579
Phone
(936) 756-1676
NPI assigned
Sep 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 29777 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579

Mailing address

2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579
Phone (936) 756-1676

Other practice location 1

10422 Huebner Rd Apt 101
San Antonio, TX 78240-1379
Phone (713) 376-0866

Other identifiers 2

IdentifierTypeStateIssuer
1891046090OtherTXPERSONAL NPI
1891328761OtherPRACTICE NPI

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
29777TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1891046090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "936-756-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "936-756-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10422 Huebner Rd Apt 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401379",
            "country_code": "US",
            "telephone_number": "713-376-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DENNIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "29777",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1891046090",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1891328761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.