Active NPI
Stephen Lon Tan, DMD
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1144893181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37564
- Practice address
- 10786 Bellaire Blvd Ste a
Houston, TX 77072-2745 - Phone
- (281) 495-0900
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37564 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rad Dent, PLLC | Current | Accepting new patients | |
| Day & Day DDS | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.