DR. THEODORE TRAN DMD
NPI 1497449037
Dentist in Surprise, AZ

Q: What is Theodore Tran's NPI number?

The NPI number for Theodore Tran is 1497449037. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Q: What is Theodore Tran's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Tran was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 06, 2023PECOS Enrolled

15317 W BELL RD STE 108, SURPRISE, AZ 85374(877) 809-5092(623) 214-5231 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Theodore Tran Dmd NPPES

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

DR. THEODORE TRAN DMD (NPI 1497449037) is an individual dentist in Surprise, Arizona, licensed in Arizona (D011795) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497449037

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. THEODORE TRANCredential: DMD

Location Address15317 W BELL RD STE 108Surprise, AZ 85374-3901

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001 · Fax (623) 583-3007

Phone(877) 809-5092

Fax(623) 214-5231

Sole ProprietorNo

Enumeration DateJune 6, 2023

Last NPPES UpdateSeptember 29, 2023

NPPES CertifiedSeptember 29, 2023

✔ NPI 1497449037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D011795

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D011795 (AZ)

15317 W BELL RD STE 108, Surprise, AZ 85374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Tran Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Tran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salt River Pima-Maricopa Indian Community

32 mi

Community Health

10005 E OSBORN RD
Scottsdale, AZ 85256

Reassigned Medicare billing, Texas enrollment
147 clinicians in this Medicare group

NPI 1942668991 (480) 362-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 3

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

GABRIELA ELIZABETH ESPINOZA RDH

Dental Hygienist

15317 W BELL RD STE 108
SURPRISE, AZ 85374

Maricopa County (623) 583-3001

MIRNA ELENA FLORES DMD

Dentist (Dental Public Health)

15317 W BELL RD STE 108
SURPRISE, AZ 85374

Maricopa County (877) 809-5092

ADELANTE HEALTHCARE INC

Clinic/Center (Federally Qualified Health Center (FQHC))

15317 W BELL RD STE 108
SURPRISE, AZ 85374

Maricopa County (480) 964-2273

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 Theodore Tran's NPI number?

The NPI number for Theodore Tran is 1497449037. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Theodore Tran located?

Theodore Tran practices at 15317 W Bell Rd Ste 108, Surprise, AZ 85374. The listed phone number is (877) 809-5092.

What is Theodore Tran's specialty?

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

Is Theodore Tran enrolled in Medicare?

Yes. Theodore Tran is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Tran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Tran reassigns Medicare benefits to Salt River Pima-Maricopa Indian Community (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Tran accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 4 other insurers list Theodore Tran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Tran was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.