1. Home
  2. Directory
  3. California
  4. Lodi
  5. Dentist
  6. NPI Profile

DR. PHUNG TRAN D.M.D
NPI 1619318946
Dentist - General Practice in Lodi, CA

Active since July 15, 2013PECOS Enrolled
2061 HENDERSON WAY, LODI, CA 95242(209) 747-9335 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phung Tran D.m.d NPPES

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

DR. PHUNG TRAN D.M.D (NPI 1619318946) is an individual general practice provider in Lodi, California, licensed in California (62467) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619318946
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHUNG TRANCredential: D.M.D
Location Address2061 HENDERSON WAYLodi, CA 95242-4814
Mailing Address2061 Henderson WayLodi, CA 95242-4814 · (209) 747-9335
Phone(209) 747-9335
Sole ProprietorNo
Enumeration DateJuly 15, 2013
Last NPPES UpdateSeptember 4, 2013
✔ NPI 1619318946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 62467
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2061 HENDERSON WAY, Lodi, CA 95242
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phung Tran D.m.d 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 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Phung Tran's NPI number?

The NPI number for Phung Tran is 1619318946. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Phung Tran located?

Phung Tran practices at 2061 Henderson Way, Lodi, CA 95242. The listed phone number is (209) 747-9335.

What is Phung Tran's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Phung Tran enrolled in Medicare?

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

What insurance does Phung Tran accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Phung 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 Phung Tran was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.