Active NPI
Vinh Quang Dang, DMD
- Dentist
- Clearwater, FL
National Provider Identifier
1184249096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25117
- Practice address
- 215 S Myrtle Ave
Clearwater, FL 33756-5521 - Phone
- (727) 442-3363
- NPI assigned
- Jun 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 51271 | NC | |
| Dentist | 122300000X | 25117 | FL | Primary |
Addresses
Primary practice location
215 S Myrtle Ave
Clearwater, FL 33756-5521
Mailing address
1851 Macgregor Downs Rd
Greenville, NC 27834-5925
Phone (252) 737-7834
Other practice location 1
1851 MacGregor Downs Rd
Greenville, NC 27834-5925
Phone (252) 737-7834
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 |
|---|---|---|---|
| 25117 | FL | MD | Dentist |
| 51271 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1184249096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345925",
"telephone_number": "252-737-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S MYRTLE AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565521",
"telephone_number": "727-442-3363"
}
],
"practiceLocations": [
{
"address_1": "1851 MacGregor Downs Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278345925",
"country_code": "US",
"telephone_number": "252-737-7834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANG",
"first_name": "VINH",
"middle_name": "QUANG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "51271",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "25117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.