Jeffrey Nanjoong Bang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23035 Issued in TX

Practice address

3388 W Main St Ste 200
Frisco, TX 75033-4553

Phone

(972) 624-7812

Fax

(972) 624-7813

NPI assigned

Apr 19, 2007

Last updated

Jan 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jeffrey Bang, DDS, PLLC

  dba Mapletree Family Dentistry

  • Dentist
  • Frisco, TX
  • NPI 1952724239
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1205053394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 MAIN ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334553",
            "telephone_number": "972-624-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 W MAIN ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334553",
            "telephone_number": "972-624-7812",
            "fax_number": "972-624-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "JEFFREY",
        "middle_name": "NANJOONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820144-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820144-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820114-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Baldus, AU.D.
• Jesselyn J Ballesteros, PTA
• Ballou Orthodontics, PLLC
• Dana L Balzer, MA, CCC-SLP L
• Taejiauna Bandy
• Cynthia May Banigan, PA-C
• Jalicia Banks
• Kay Beth Banks, N.P.
• Diamond Bankston
• Adeela Bano, BCBA

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.