Tyler Alan Tran, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600475 Issued in MI

Practice address

1624 S Drake Rd
Kalamazoo, MI 49006-5780

Phone

(269) 628-8770

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Tyler Alan Tran Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1942825252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065780",
            "telephone_number": "269-628-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065780",
            "telephone_number": "269-628-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TYLER",
        "middle_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "TRAN",
            "middle_name": "ALAN",
            "prefix": "MR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Townsend, LCSW
• Kyla Townsend
• Laurie Ann Townsley, AGACNP-BC
• Tracs, Treatment & Consultation Services, P.C.
• Alyssa Jontae Trager
• Transitions Counseling Inc
• Transitions Michigan III LLC
• Trapp Counseling Services PLLC
• Kelly Lynne Trawczynski, LMSW
• Allison Traxler

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.