Individual provider Active NPI

Anthony Hung Tran, D.D.S.

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1972703601
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45991 Issued in CA
Practice address
2900 Standiford Ave
Suite 19
Modesto, CA 95350-0167
Phone
(209) 579-0446
Fax
(209) 572-5095
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45991 CA Primary

Addresses

Primary practice location

2900 Standiford Ave
Suite 19
Modesto, CA 95350-0167

Mailing address

2900 Standiford Ave
Suite 19
Modesto, CA 95350-0167
Phone (209) 579-0446

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

LicenseStateTypeSpecialty
45991CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony H. Tran,DDS & Emily Nguyen,DDS, Inc., General Practice Past Accepting new patients

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1972703601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 STANDIFORD AVE",
            "address_2": "SUITE 19",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500167",
            "telephone_number": "209-579-0446",
            "fax_number": "209-572-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 STANDIFORD AVE",
            "address_2": "SUITE 19",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500167",
            "telephone_number": "209-579-0446",
            "fax_number": "209-572-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANTHONY",
        "middle_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.