Individual provider Active NPI

Ken Nam Tran, DDS

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1982791786
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41877 Issued in CA
Practice address
10092 Chapman Ave Ste 4
Garden Grove, CA 92840-2833
Phone
(714) 539-3022
Fax
(714) 539-3322
NPI assigned
Oct 5, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41877 CA Primary

Addresses

Primary practice location

10092 Chapman Ave Ste 4
Garden Grove, CA 92840-2833

Mailing address

10092 Chapman Ave Ste 4
Garden Grove, CA 92840-2833
Phone (714) 539-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002323 CA Order and Referring Only - Other (Non-Physician) 8123326972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41877CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ken N. Tran, DDS, Inc Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1982791786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10092 CHAPMAN AVE STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402833",
            "telephone_number": "714-539-3022",
            "fax_number": "714-539-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10092 CHAPMAN AVE STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402833",
            "telephone_number": "714-539-3022",
            "fax_number": "714-539-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KEN",
        "middle_name": "NAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.