My Thi Dang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8166 Issued in OR

Practice address

12520 SW 1St St
Beaverton, OR 97005-0550

Phone

(503) 646-5230

NPI assigned

Aug 10, 2005

Last updated

Dec 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beaverton Sandy Dental Clinic PC

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1528574829
  NPD (past) Authorized official
• Sandy Dental Clinic PC

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1699818088
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1215938329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13256 SW HILLSHIRE DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235600",
            "telephone_number": "503-895-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050550",
            "telephone_number": "503-646-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "MY",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dalzell, DPT
• Trinity Dam, PHARM.D
• Dawn Marie Damori, O.D.
• Malaak Damra
• Hannah I Danforth
• Rain R. Daniel
• Danielle Dieter Counseling LLC
• Marie Anne Daniels, QMHP-R
• Amy Danielson, OTD, OTR/L
• Michael Thomas Daniewicz, MA LPC

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.