Active NPI
Dennis Tran, DDS
- Endodontics
- Conroe, TX
National Provider Identifier
1891046090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 29777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891046090 | Other | TX | PERSONAL NPI |
| 1891328761 | Other | PRACTICE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29777 | TX | MD | Endodontist |
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.