Jimmy Tran, DMD Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JIMMY TRAN, DMD PROFESSIONAL CORPORATION

Practice address

18102 Irvine Blvd Ste 212
Tustin, CA 92780-3424

Phone

(714) 837-1031

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Jimmy Binh-Phi Tran, DMD

Title

Owner/Ceo

Phone

(714) 837-1031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1992442172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 212",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803424",
            "telephone_number": "714-837-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 212",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803424",
            "telephone_number": "714-837-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY TRAN, DMD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "BINH-PHI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "714-837-1031",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.