Active NPI
My Pang Kou Vang, M
- Dental Therapist
- West St Paul, MN
National Provider Identifier
1033623822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT84
- Practice address
- 1590 Robert St S
West St Paul, MN 55118-3403 - Phone
- (651) 300-0949
- NPI assigned
- Dec 1, 2017
- Last updated
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT84 | MN | Primary |
Addresses
Primary practice location
1590 Robert St S
West St Paul, MN 55118-3403
Mailing address
386 Winifred St E
Saint Paul, MN 55107-2424
Phone (651) 226-5110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84 | MN | MD | Dental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr My Pang Kou Vang DDS, PLLC | Current | Accepting new patients | |
| Accesspoint Dental LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- New Brighton, MN
- NPI 1174419923
-
- Dental Clinic/Center
- West Saint Paul, MN
- NPI 1235544180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1033623822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 WINIFRED ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072424",
"telephone_number": "651-226-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 ROBERT ST S",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551183403",
"telephone_number": "651-300-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "MY PANG",
"middle_name": "KOU",
"credential": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT84",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
- Trucomforthomeheathcare
- Twin City Health Care Inc
- Tyler Baars, O.D., P.C. (Baars Eye Care)
- Michele L Van Vranken, MD
- Joshua Tom Vang, DDS
- Katelin Nicole Varnson, DNP, PMHNP-BC
- Vituity-Minnesota, LLC
- Alexis Ann Vosooney, M.D.
- Walker Thompson Hill, LLC (Walker Methodist Westwood Ridge II)
- Walmart Inc. (Walmart Pharmacy 10-3364)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.