Active NPI
Thanh Lan Thi Tran
- Dentist
- Fresno, CA
National Provider Identifier
1992439996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107530
- Practice address
- 7125 N Chestnut Ave Ste 107
Fresno, CA 93720-0358 - Phone
- (559) 797-4355
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 107530 | CA | Primary |
Addresses
Primary practice location
7125 N Chestnut Ave Ste 107
Fresno, CA 93720-0358
Mailing address
1740 Mayette Ave
Concord, CA 94520-3936
Phone (925) 822-8952
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 |
|---|---|---|---|
| 107530 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1992439996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 MAYETTE AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945203936",
"telephone_number": "925-822-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 N CHESTNUT AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200358",
"telephone_number": "559-797-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THANH LAN",
"middle_name": "THI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.