Organization Active NPI

Hai V Dang M D Inc

  • Specialist
  • Southaven, MS
National Provider Identifier
1013046507
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13499 Issued in MS
Legal business name
HAI V DANG M D INC
Practice address
7640 Clarington CV
Suite B
Southaven, MS 38671-5652
Phone
(662) 349-3355
Fax
(662) 349-8815
NPI assigned
Mar 2, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Hai V. DangNPI 1508972365
Title
President
Phone
(662) 349-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13499 MS Primary

Addresses

Primary practice location

7640 Clarington CV
Suite B
Southaven, MS 38671-5652

Mailing address

PO Box 410
Southaven, MS 38671-0005
Phone (662) 349-3355

Other identifiers 1

IdentifierTypeStateIssuer
04409851MedicaidMS

National Provider Directory

National Provider Directory

Locations

7640 Clarington Cv
Ste B
Southaven, MS 38671
Phone (662) 349-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1013046507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710005",
            "telephone_number": "662-349-3355",
            "fax_number": "662-349-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 CLARINGTON CV",
            "address_2": "SUITE B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715652",
            "telephone_number": "662-349-3355",
            "fax_number": "662-349-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAI V DANG M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-349-3355"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "13499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04409851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.