Individual provider Active NPI

Xianli Tang, DDS

  • Endodontics
  • Saline, MI
National Provider Identifier
1235395906
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901020450 Issued in MI
Practice address
172 S Industrial Dr
Saline, MI 48176-9175
Phone
(734) 345-2979
Fax
(734) 328-0261
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901020450 MI Primary

Addresses

Primary practice location

172 S Industrial Dr
Saline, MI 48176-9175

Mailing address

172 S Industrial Dr
Saline, MI 48176-9175
Phone (734) 345-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161004000917 MI Order and Referring Only - DentistPractitioner - Dentist 9234427451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020450MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Xianli Tang DDS PLLC Endodontics CurrentSince Jan 29, 2023 Accepting new patients

Locations

172 S Industrial Dr
Saline, MI 48176
Phone (734) 345-2979

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1235395906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-345-2979",
            "fax_number": "734-328-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-345-2979",
            "fax_number": "734-328-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "XIANLI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901020450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.