Titus Tang Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TITUS TANG DENTAL INC

Practice address

360 Hillsdale Mall
San Mateo, CA 94403-3425

Phone

(650) 850-8502

NPI assigned

Feb 28, 2021

Organization subpart

Yes

Parent organization

TITUS TANG DENTAL INCAs reported in NPPES

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

Authorized official

Name

Dr. Titus Tang, DDS

Title

Ceo

Phone

(650) 850-8502

Specialties & licenses 6

Addresses

Other names 1

• Dental 360 Dental Practice of Titus Tang Dental Inc. Doing business as

Part of

Titus Tang Dental Inc

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1093309213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033425",
            "telephone_number": "650-850-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033425",
            "telephone_number": "650-850-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS TANG DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITUS TANG DENTAL INC",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-850-8502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental 360 Dental Practice of Titus Tang Dental Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.