Dandan Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DANDAN PRIMARY CARE, LLC

Practice address

354 E Southcross Blvd Ste 100
San Antonio, TX 78214-3595

Phone

(661) 912-7458

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melhem Dandan, MDNPI 1053393520

Title

Owner

Phone

(661) 912-7496

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Harlandale Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melhem Dandan, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1053393520
  Medicare reassignment NPD Authorized official
• Susan Patricia Mangum, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1962657486
  Medicare reassignment

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1235804964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19807 FIESTA GRANDE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 E SOUTHCROSS BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782143595",
            "telephone_number": "661-912-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDAN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "DANDAN",
        "authorized_official_first_name": "MELHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-912-7496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053393520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlandale Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murphy Danahy
• Brook Alicia Danboise, MD
• Deanna Dance-Kwan, M.D.
• Jane Young Dancer, M.D
• Jessica Lynn Danciu, MD
• Melhem Dandan, MD
• Cynthia Dandridge
• Obadiah O Dandudu, RN
• Daneen a. Milam, PHD, PC
• Kamdyn Danenberg, M.A., CF-SLP

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.