Individual provider Active NPI

Stephen M. Dang, DMD

  • Dentist
  • Alhambra, CA
National Provider Identifier
1265450522
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32056 Issued in CA
Practice address
1315 E. Main Street
Alhambra, CA 91801-4163
Phone
(626) 281-1536
Fax
(626) 281-1607
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32056 CA Primary

Addresses

Primary practice location

1315 E. Main Street
Alhambra, CA 91801-4163

Mailing address

1315 E Main St
Alhambra, CA 91801-4163
Phone (626) 281-1536

Other names 1

  • Dr. Stephen M Dang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160318001309 CA Order and Referring Only - Oral SurgeryPractitioner - Other (Physician)Practitioner - Oral Surgery 0143527101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Dang Past Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1265450522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 E MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014163",
            "telephone_number": "626-281-1536",
            "fax_number": "626-281-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 E. MAIN STREET",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014163",
            "telephone_number": "626-281-1536",
            "fax_number": "626-281-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "DANG",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.