Active NPI
Loc Tran, DDS
- Endodontics
- Stockton, CA
National Provider Identifier
1932209723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 45992
- Practice address
- 3427 Deer Park Drive
Suite a
Stockton, CA 95219 - Phone
- (120) 947-8225
- NPI assigned
- Sep 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 45992 | CA | Primary |
Addresses
Primary practice location
3427 Deer Park Drive
Suite a
Stockton, CA 95219
Mailing address
9994 Visconti Court
Elk Grove, CA 95757
Phone (191) 690-7876
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 |
|---|---|---|---|
| 45992 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932209723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9994 VISCONTI COURT",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95757",
"telephone_number": "191-690-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 DEER PARK DRIVE",
"address_2": "SUITE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95219",
"telephone_number": "120-947-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "45992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.