Individual provider Active NPI

Stephen Lon Tan, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1144893181
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37564 Issued in TX
Practice address
10786 Bellaire Blvd Ste a
Houston, TX 77072-2745
Phone
(281) 495-0900
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 37564 TX Primary

Addresses

Primary practice location

10786 Bellaire Blvd Ste a
Houston, TX 77072-2745

Mailing address

10786 Bellaire Blvd Ste a
Houston, TX 77072-2745
Phone (281) 495-0900

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

LicenseStateTypeSpecialty
37564TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rad Dent, PLLC CurrentSince Sep 11, 2022 Accepting new patients
Day & Day DDS PastSince Jul 25, 2021 Accepting new patients

Locations

10786 Bellaire Blvd
Ste A
Houston, TX 77072
Phone (281) 494-0900

Organizations & group practices 2

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1144893181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10786 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722745",
            "telephone_number": "281-495-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10786 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722745",
            "telephone_number": "281-495-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "STEPHEN",
        "middle_name": "LON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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