Individual provider Active NPI

Theresa Hanh Dang Bentley

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1154392769
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D32054 Issued in CA
Practice address
4015 N Fresno St
Suite 110
Fresno, CA 93726-4023
Phone
(559) 224-4860
Fax
(559) 224-0802
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D32054 CA Primary

Addresses

Primary practice location

4015 N Fresno St
Suite 110
Fresno, CA 93726-4023

Mailing address

4015 N Fresno St
Suite 110
Fresno, CA 93726-4023
Phone (559) 224-4860

Other identifiers 1

IdentifierTypeStateIssuer
B32054-01MedicaidCA

Other names 1

  • Theresa Hanh Dang Other name

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
D32054CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154392769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N FRESNO ST",
            "address_2": "SUITE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264023",
            "telephone_number": "559-224-4860",
            "fax_number": "559-224-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N FRESNO ST",
            "address_2": "SUITE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264023",
            "telephone_number": "559-224-4860",
            "fax_number": "559-224-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "THERESA HANH",
        "middle_name": "DANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D32054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B32054-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA HANH",
            "last_name": "DANG",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.