Active NPI
Tiffany Dang, D.M.D.
- Dentist
- Norcross, GA
National Provider Identifier
1306828926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11501
- Practice address
- 5456 Jimmy Carter Blvd
Suite 150
Norcross, GA 30093-1543 - Phone
- (770) 441-0808
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11501 | GA | Primary |
Addresses
Primary practice location
5456 Jimmy Carter Blvd
Suite 150
Norcross, GA 30093-1543
Mailing address
580 Lake Medlock Dr
Alpharetta, GA 30022-5673
Phone (770) 622-7862
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1306828926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 LAKE MEDLOCK DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225673",
"telephone_number": "770-622-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5456 JIMMY CARTER BLVD",
"address_2": "SUITE 150",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931543",
"telephone_number": "770-441-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "11501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.