Organization Active NPI

Kristine N. Tran, DDS, Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1912203886
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40749 Issued in CA
Legal business name
KRISTINE N. TRAN, DDS, INC.
Practice address
9009 Mira Mesa Blvd
San Diego, CA 92126-2738
Phone
(858) 530-2898
Fax
(858) 530-2978
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Kristine Ngoc Tran, DDSNPI 1083869945
Title
President
Phone
(858) 530-2898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40749 CA Primary

Addresses

Primary practice location

9009 Mira Mesa Blvd
San Diego, CA 92126-2738

Mailing address

9009 Mira Mesa Blvd
San Diego, CA 92126-2738
Phone (858) 530-2898

Other identifiers 1

IdentifierTypeStateIssuer
B40749-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

9009 Mira Mesa Blvd
San Diego, CA 92126
Phone (858) 530-2898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1912203886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262738",
            "telephone_number": "858-530-2898",
            "fax_number": "858-530-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262738",
            "telephone_number": "858-530-2898",
            "fax_number": "858-530-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE N. TRAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-530-2898",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B40749-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.