Active NPI
Viet Van Dang, DDS
- General Practice Dentistry
- Salinas, CA
National Provider Identifier
1245327410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48799
- Practice address
- 1558 Constitution Boulevard
Salinas, CA 93905 - Phone
- (831) 449-3264
- Fax
- (831) 449-1338
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48799 | CA | Primary |
Addresses
Primary practice location
1558 Constitution Boulevard
Salinas, CA 93905
Mailing address
1558 Constitution Blvd
Salinas, CA 93905-3803
Phone (831) 449-3264
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B47899-01 | Other | CA | HEALTY FAMILIES |
| G93190-01 | Other | CA | DENTICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48799 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245327410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1558 CONSTITUTION BLVD",
"city": "SALINAS",
"state": "CA",
"postal_code": "939053803",
"telephone_number": "831-449-3264",
"fax_number": "831-449-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 CONSTITUTION BOULEVARD",
"city": "SALINAS",
"state": "CA",
"postal_code": "93905",
"telephone_number": "831-449-3264",
"fax_number": "831-449-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "VIET",
"middle_name": "VAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTY FAMILIES",
"identifier": "B47899-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G93190-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.