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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AN-VINH TRAN
NPI 1043008204
Dentist in Marysville, WA

Active since April 28, 2025PECOS Enrolled
17103 28TH DR NE STE 104, MARYSVILLE, WA 98271(360) 208-0492 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Aug 15, 2025 (2 updates tracked since 2025).

About An-vinh Tran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AN-VINH TRAN (NPI 1043008204) is an individual dentist in Marysville, Washington, licensed in Nevada (8236) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1043008204
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAN-VINH TRAN
Location Address17103 28TH DR NE STE 104Marysville, WA 98271-4830
Mailing Address17103 28th Dr Ne Ste 104Marysville, WA 98271-4830 · (360) 208-0492
Phone(360) 208-0492
Sole ProprietorNo
Enumeration DateApril 28, 2025
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1043008204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NV · 8236✔ Licensed in WA · DENT.DE.70135737
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17103 28TH DR NE STE 104, Marysville, WA 98271
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Secondary Practice Location 1

Location 14950 W Sahara Ave Ste 100Las Vegas, NV 89146-3462 · Phone (702) 680-1525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

An-vinh Tran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98271 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE WITTE DDS
Dentist
17103 28TH DR NE STE 104
MARYSVILLE, WA 98271
Snohomish County (360) 208-0492
DR. ZOLJARGAL BAYARSAIKHAN DMD
Dentist (General Practice)
17103 28TH DR NE STE 104
MARYSVILLE, WA 98271
Snohomish County (360) 208-0492
DR. SEONGWON CHOI PLLC.
Dentist (Endodontics)
17103 28TH DR NE STE 104
MARYSVILLE, WA 98271
Snohomish County (360) 208-0492
SEONGWON CHOI
Dentist (Endodontics)
17103 28TH DR NE STE 104
MARYSVILLE, WA 98271
Snohomish County (360) 208-0492
DR. MOISES EMMANUEL CERVANTES-PEREZ DDS
Dentist (General Practice)
17103 28TH DR NE STE 104
MARYSVILLE, WA 98271
Snohomish County (360) 208-0492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is An-vinh Tran's NPI number?

The NPI number for An-vinh Tran is 1043008204. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is An-vinh Tran located?

An-vinh Tran practices at 17103 28th Dr NE Ste 104, Marysville, WA 98271. The listed phone number is (360) 208-0492.

What is An-vinh Tran's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is An-vinh Tran enrolled in Medicare?

Yes. An-vinh Tran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for An-vinh Tran was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.