Active NPI
Phuong Denise Dang, M.D.
- Family Medicine Physician
- The Colony, TX
National Provider Identifier
1265611685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M6093
- Practice address
- 4897 State Highway 121
Suite 100
The Colony, TX 75056-2916 - Phone
- (469) 800-4950
- Fax
- (469) 800-4959
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M6093 | TX | Primary |
Addresses
Primary practice location
4897 State Highway 121
Suite 100
The Colony, TX 75056-2916
Mailing address
4897 State Highway 121
Suite 100
The Colony, TX 75056-2916
Phone (469) 800-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L2972 | Other | TX | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Physician Associates | Family Medicine | 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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1265611685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4897 STATE HIGHWAY 121",
"address_2": "SUITE 100",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750562916",
"telephone_number": "469-800-4950",
"fax_number": "469-800-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 STATE HIGHWAY 121",
"address_2": "SUITE 100",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750562916",
"telephone_number": "469-800-4950",
"fax_number": "469-800-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "PHUONG",
"middle_name": "DENISE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M6093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8L2972",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.