Individual provider Active NPI

Allison Jeanine Phang, D.D.S.

  • General Practice Dentistry
  • Palm Springs, CA
National Provider Identifier
1225355662
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58719 Issued in CA
Practice address
160 N Luring Dr
Suite F
Palm Springs, CA 92262-6840
Phone
(760) 325-2503
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58719 CA Primary

Addresses

Primary practice location

160 N Luring Dr
Suite F
Palm Springs, CA 92262-6840

Mailing address

25805 Sunrise Way
Loma Linda, CA 92354-3845
Phone (909) 796-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58719CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1225355662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25805 SUNRISE WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543845",
            "telephone_number": "909-796-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N LURING DR",
            "address_2": "SUITE F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626840",
            "telephone_number": "760-325-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANG",
        "first_name": "ALLISON",
        "middle_name": "JEANINE",
        "name_prefix": "Miss",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.