Individual provider Active NPI

Johnny Van Dang, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Odenton, MD
National Provider Identifier
1215517370
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
H0103263 Issued in MD
Practice address
1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Phone
(410) 672-2255
NPI assigned
Apr 13, 2021
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H0103263 MD Primary

Addresses

Primary practice location

1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622

Mailing address

1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Phone (410) 672-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812002120 MD Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 2365842861

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Maryland Pain Management, LLCGroup PAC ID 4486881513, shared by 6 NPIs, 12 clinicians

Practice addresses (Care Compare)

1130 Annapolis Rd
Suite 100
Odenton, MD 21113-1622
Phone (410) 672-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC Past Accepting new patients
Greater Maryland Pain Management, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdang39115@direct.kennedykrieger.org
  • Direct secure messaging: jdang980399@direct.hopkinsmedicine.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1215517370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD STE 100",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131622",
            "telephone_number": "410-672-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD STE 100",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131622",
            "telephone_number": "410-672-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "JOHNNY",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "H0103263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.