Phong Thanh Dang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60113220 Issued in WA

Practice address

1014 South 320TH Street
Suite E
Federal Way, WA 98003

Phone

(253) 529-0123

NPI assigned

Dec 31, 2009

Last updated

Dec 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• WA PPO C-SNP

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.

• Binh T. Tran DDS, PS

  • Dentist
  • Federal Way, WA
  • NPI 1811926173
  NPD (past)

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1053641712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10032 SE 220TH ST.REET",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312510",
            "telephone_number": "206-769-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 SOUTH 320TH STREET",
            "address_2": "SUITE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-529-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "PHONG",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60113220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Roberts, DMD, PLLC
• Alan Dang, DPT
• Han Bao Dang
• Huyen My Dang
• Khoi Dang, PHARMD
• Van Quoc Dang, D.M.D.
• Daniel B. Kamran DDS PLLC (Divine Dental)
• Daniel H Chong DDS PS
• Daniel Shoop DDS PLLC
• Julie Ann Daniel, M.A., CCC-SLP

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.