Individual provider Active NPI

Titus Tang, D.D.S.

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1073795464
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52475 Issued in CA
Practice address
59B Serramonte Ctr
Daly City, CA 94015-2345
Phone
(650) 755-1222
Fax
(650) 755-1223
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52475 CA Primary

Addresses

Primary practice location

59B Serramonte Ctr
Daly City, CA 94015-2345

Mailing address

59B Serramonte Ctr
Daly City, CA 94015-2345
Phone (650) 755-1222

Other practice location 1

360 Hillsdale Mall
San Mateo, CA 94403-3425
Phone (650) 755-1222

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titus Tang DDS Inc PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1073795464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59B SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-755-1222",
            "fax_number": "650-755-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59B SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-755-1222",
            "fax_number": "650-755-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Hillsdale Mall",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944033425",
            "country_code": "US",
            "telephone_number": "650-755-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "TITUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.