NPIMap

Organization Active NPI

Trandai Dental Care

Doing business as Broadway Dental Associates

  • Dentist
  • Chicago, IL
National Provider Identifier
1902063043
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-026073 Issued in IL
Legal business name
TRANDAI DENTAL CARE
Doing business as
Broadway Dental Associates
Practice address
5449 N Broadway St
Chicago, IL 60640-1703
Phone
(773) 878-1009
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Linh Thuy Tran, DMD
Title
Dentist
Phone
(773) 878-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019-026073 IL Primary

Addresses

Primary practice location

5449 N Broadway St
Chicago, IL 60640-1703

Mailing address

5449 N Broadway St
Chicago, IL 60640-1703
Phone (773) 878-1009

Other names 1

  • Broadway Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trandai Dental Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1902063043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-878-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-878-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANDAI DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-878-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.