Individual provider Active NPI

Edward Tang, DC, MD

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1275568917
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8651 Issued in TX
Practice address
2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone
(972) 395-5755
Fax
(972) 899-8003
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8651 TX Primary

Addresses

Primary practice location

2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839

Mailing address

2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone (972) 395-5755

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC8651TXMDChiropractor
8651TXMDFoster Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Woodforest Chiropractic Chiropractor 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1275568917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-395-5755",
            "fax_number": "972-899-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-395-5755",
            "fax_number": "972-899-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "EDWARD",
        "credential": "DC, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.