Individual provider Active NPI

Van Thi Tran, M.D

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1912010836
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3644 Issued in TX
Practice address
1000 E Belt Line Rd Ste 112
Carrollton, TX 75006-6282
Phone
(972) 338-5574
Fax
(469) 393-7206
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3644 TX Primary

Addresses

Primary practice location

1000 E Belt Line Rd Ste 112
Carrollton, TX 75006-6282

Mailing address

6 Robledo Dr
Dallas, TX 75230-3059
Phone (972) 338-5574

Other identifiers 4

IdentifierTypeStateIssuer
135115704MedicaidTX
135115701MedicaidTX
135115707MedicaidTX
751700137OtherTXFEDERAL TAX ID

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F3644TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CVC Medical PA Family Medicine CurrentSince Jan 29, 2023 Accepting new patients

Locations

1000 E Belt Line Rd
Ste 112
Carrollton, TX 75006
Phone (214) 551-6444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1912010836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROBLEDO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303059",
            "telephone_number": "972-338-5574",
            "fax_number": "469-393-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BELT LINE RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066282",
            "telephone_number": "972-338-5574",
            "fax_number": "469-393-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VAN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-01-25",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135115704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135115701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135115707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "751700137",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.