Tang & Wong Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TANG & WONG DENTAL, INC

Practice address

2336 Santa Monica Blvd Ste 202
Santa Monica, CA 90404-2093

Phone

(310) 315-1142

Fax

(310) 315-0640

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Tang, DMDNPI 1407338916

Title

Owner Dentist

Phone

(310) 315-1142

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Tang, DMD

  • General Practice Dentistry
  • Pacific Palisades, CA
  • NPI 1407338916
  NPD Authorized official

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1194498071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042093",
            "telephone_number": "310-315-1142",
            "fax_number": "310-315-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042093",
            "telephone_number": "310-315-1142",
            "fax_number": "310-315-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANG & WONG DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-315-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "103085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qineng Tan
• Qiuxue Tracey Tan, MD
• Wilson Tan
• Mikiko Tanabe
• Tandem Genetics
• Stephen Tang, M.D.
• Jeffrey Michael Tanner, D.D.S.
• Tanya Kormeili, MD, PC
• Tao of Medicine Inc.
• Amanda Marie Tapia

• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.