Ted Y.T. Fang DDS, Apc

Primary specialty

DentistTaxonomy code 122300000X

License

45458 Issued in CA

Legal business name

TED Y.T. FANG DDS, APC

Practice address

39178 10TH St W
Suite C
Palmdale, CA 93551-3767

Phone

(661) 947-6201

Fax

(661) 947-4136

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ted Yao-Te Fang, DDS

Title

President

Phone

(661) 947-6201

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1114226172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39178 10TH ST W",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513767",
            "telephone_number": "661-947-6201",
            "fax_number": "661-947-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39178 10TH ST W",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513767",
            "telephone_number": "661-947-6201",
            "fax_number": "661-947-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED Y.T. FANG DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "YAO-TE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-947-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45458",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.