NPIMap

Organization Active NPI

Minh Dang M.D. Inc.

  • Procedural Dermatology Physician
  • Pleasanton, CA
National Provider Identifier
1154586543
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
MINH DANG M.D. INC.
Practice address
6155 Stoneridge Dr
150
Pleasanton, CA 94588-3204
Phone
(925) 251-9012
Fax
(925) 251-9013
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Minh Ngoc O Dang, M.D.
Title
Owner
Phone
(925) 251-9012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

6155 Stoneridge Dr
150
Pleasanton, CA 94588-3204

Mailing address

6155 Stoneridge Dr
150
Pleasanton, CA 94588-3204
Phone (925) 251-9012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1154586543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 STONERIDGE DR",
            "address_2": "150",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883204",
            "telephone_number": "925-251-9012",
            "fax_number": "925-251-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 STONERIDGE DR",
            "address_2": "150",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883204",
            "telephone_number": "925-251-9012",
            "fax_number": "925-251-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH DANG M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "NGOC O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-251-9012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.