Active NPI
Ryan Tang
- Dentist
- Glendale, AZ
National Provider Identifier
1144000324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS109871
- Practice address
- 6206 W Bell Rd Ste 1
Glendale, AZ 85308-3750 - Phone
- (623) 773-1991
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011958 | AZ | |
| Dentist | 122300000X | DDS109871 | CA | Primary |
Addresses
Primary practice location
6206 W Bell Rd Ste 1
Glendale, AZ 85308-3750
Mailing address
6920 W Briles Rd
Peoria, AZ 85383-7016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011958 | AZ | MD | Dentist |
| DDS109871 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1144000324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 W BRILES RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853837016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 W BELL RD STE 1",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083750",
"telephone_number": "623-773-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "RYAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-04",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011958",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS109871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.