Active NPI
Lien Tran, D.D.S
- Public Health Dentistry
- Watsonville, CA
National Provider Identifier
1962692046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 50835
- Practice address
- 204 E Beach St
Watsonville, CA 95076-4809 - Phone
- (831) 763-3413
- Fax
- (831) 728-8257
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 50835 | CA | Primary |
Addresses
Primary practice location
204 E Beach St
Watsonville, CA 95076-4809
Mailing address
2078 Anthony Dr
Campbell, CA 95008-2617
Phone (408) 464-5507
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 |
|---|---|---|---|
| 50835 | CA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1962692046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2078 ANTHONY DR",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082617",
"telephone_number": "408-464-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E BEACH ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764809",
"telephone_number": "831-763-3413",
"fax_number": "831-728-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LIEN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CA",
"license": "50835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.