Organization Active NPI

Van Tang DMD, Inc.

  • Pediatric Dentistry
  • Chula Vista, CA
National Provider Identifier
1205728607
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
VAN TANG DMD, INC.
Practice address
891 Kuhn Dr Ste 100
Chula Vista, CA 91914-3551
Phone
(619) 257-1010
Fax
(619) 257-1011
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Dr. Van K Tang, DMDNPI 1649775271
Title
Owner Dentist
Phone
(619) 257-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

891 Kuhn Dr Ste 100
Chula Vista, CA 91914-3551

Mailing address

891 Kuhn Dr Ste 100
Chula Vista, CA 91914-3551
Phone (619) 257-1010

Other names 1

  • Pebble & Pearl Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

891 Kuhn Dr
Ste 100
Chula Vista, CA 91914
Phone (619) 257-1010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1205728607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 KUHN DR STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143551",
            "telephone_number": "619-257-1010",
            "fax_number": "619-257-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 KUHN DR STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143551",
            "telephone_number": "619-257-1010",
            "fax_number": "619-257-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN TANG DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "619-257-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pebble & Pearl Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.