Organization Active NPI

Derek H. Tang DDS Inc.

  • Dental Clinic/Center
  • Half Moon Bay, CA
National Provider Identifier
1083244313
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DEREK H. TANG DDS INC.
Practice address
640 Mill St
Half Moon Bay, CA 94019-1727
Phone
(650) 726-7581
Fax
(650) 726-6546
NPI assigned
Jan 26, 2020
Last updated
Jan 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Dr. Derek Tang, DDSNPI 1760042022
Title
Owner
Phone
(408) 839-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

640 Mill St
Half Moon Bay, CA 94019-1727

Mailing address

7601 Waterford Dr
Cupertino, CA 95014-5243
Phone (408) 839-1888

National Provider Directory

National Provider Directory

Locations

640 Mill St
Half Moon Bay, CA 94019
Phone (650) 726-7581

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1083244313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WATERFORD DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145243",
            "telephone_number": "408-839-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MILL ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191727",
            "telephone_number": "650-726-7581",
            "fax_number": "650-726-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK H. TANG DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-839-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.