Organization Active NPI

Dang Medical Clinic PA

  • Family Medicine Physician
  • Cleburne, TX
National Provider Identifier
1194274464
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DANG MEDICAL CLINIC PA
Practice address
110 W Henderson St
Cleburne, TX 76033-4906
Phone
(817) 774-5008
Fax
(817) 774-5034
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
John T Dang, MD
Title
Owner
Phone
(817) 774-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 W Henderson St
Cleburne, TX 76033-4906

Mailing address

110 W Henderson St
Cleburne, TX 76033-4906
Phone (817) 774-5008

National Provider Directory

National Provider Directory

Locations

110 W Henderson St
Cleburne, TX 76033
Phone (817) 645-2411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14822/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1194274464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HENDERSON ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334906",
            "telephone_number": "817-774-5008",
            "fax_number": "817-774-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HENDERSON ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334906",
            "telephone_number": "817-774-5008",
            "fax_number": "817-774-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANG MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-774-5008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.