NPIMap

Individual provider Active NPI

Milton Doan Dang, D.D.S

  • Dentist
  • Dallas, TX
National Provider Identifier
1053567073
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23916 Issued in TX
Practice address
14075 Waterfall Way
Dallas, TX 75240-3841
Phone
(972) 783-5711
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23916 TX Primary

Addresses

Primary practice location

14075 Waterfall Way
Dallas, TX 75240-3841

Mailing address

14075 Waterfall Way
Dallas, TX 75240-3841
Phone (972) 783-5711

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

LicenseStateTypeSpecialty
23916TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Prime Dental Group PC Current Accepting new patients
Texas Prime Dental Group II PC Dentist Current Accepting new patients
Denstar Dental I PA Current Accepting new patients

Locations

14075 Waterfall Way
Dallas, TX 75240
Phone (972) 783-5711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1053567073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 WATERFALL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403841",
            "telephone_number": "972-783-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 WATERFALL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403841",
            "telephone_number": "972-783-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "MILTON",
        "middle_name": "DOAN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.