Stanley Chungwai Tang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60083251 Issued in WA

Practice address

14711 Fryelands Blvd SE
Suite 111
Monroe, WA 98272-2944

Phone

(612) 240-5067

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Smile Institute, LTD.

  • Dental Clinic/Center
  • Monroe, WA
  • NPI 1427280163
  NPD (past) Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1043290067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 FRYELANDS BLVD SE",
            "address_2": "SUITE 111",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722944",
            "telephone_number": "612-240-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 FRYELANDS BLVD SE",
            "address_2": "SUITE 111",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722944",
            "telephone_number": "612-240-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "STANLEY",
        "middle_name": "CHUNGWAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10854",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60083251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Warren Swinford, D.C.
• Joseph Cruz Szabo, DDS
• Sarah J Tainter, LMHC
• Darren K Takeshita, LMP
• Caroline Tang, PHARMD
• Stephanie F Taylor-White, N.D.
• Michelle Eileen Taylor, LMT
• Shannon Marie Taylor, DPT
• Kristi Lynn Tekel, MA, CCC-SLP
• Evan Sidney Teplow, MD

• Dentist in Monroe, WA
• Providers in Monroe, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.