Active NPI
Eunice Sang, DMD
- Dentist
- Montgomery, TX
National Provider Identifier
1184299166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38762
- Practice address
- 20042 Eva St Ste 100
Montgomery, TX 77356-2042 - Phone
- (936) 206-7069
- NPI assigned
- May 23, 2021
- Last updated
- Dec 1, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38762 | TX | Primary |
Addresses
Primary practice location
20042 Eva St Ste 100
Montgomery, TX 77356-2042
Mailing address
20042 Eva St Ste 100
Montgomery, TX 77356-2042
Phone (936) 206-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221228001445 | TX | Order and Referring Only - Dentist | 4688044134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Montgomery, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1621728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1184299166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20042 EVA ST STE 100",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773562042",
"telephone_number": "936-206-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20042 EVA ST STE 100",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773562042",
"telephone_number": "936-206-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANG",
"first_name": "EUNICE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-23",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.