Tom Dang Tu D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38142 Issued in CA

Legal business name

TOM DANG TU D.D.S., INC

Practice address

9872 Chapman Ave
Garden Grove, CA 92841-2737

Phone

(714) 590-1718

NPI assigned

Jan 5, 2007

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Dang Tu, DDS

Title

Dentist/ President

Phone

(714) 590-1718

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1215085436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412737",
            "telephone_number": "714-590-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412737",
            "telephone_number": "714-590-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM DANG TU D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "DENTIST/ PRESIDENT",
        "authorized_official_telephone_number": "714-590-1718",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES DELTA",
            "identifier": "B38142",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3814201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "899479",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aracely Todd
• Mina Tohid, R.D.C.S.
• Naincee Tolani, OTR/L
• Lucrecia Toledo, CPHW
• Gale Tolentino
• Diane Tom
• Junko Tominaga
• Andrew Ross Tompkins
• Bao That Ton
• Tam Nu Thanh Ton, D.D.S

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, 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 Nov 24, 2014; 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.