Daniel Jian Ming Tan, BDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

36989 Issued in TX

Practice address

5120 W Lovers LN
Dallas, TX 75209-3332

Phone

(214) 956-9100

Fax

(214) 956-9169

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• David D McFadden, DMD PA

  • Prosthodontics
  • Dallas, TX
  • NPI 1720672579
  NPD
• Texas Dental Sleep Services, PLLC

  • Dentist
  • Austin, TX
  • NPI 1891468112
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1316618952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "DANIEL",
        "middle_name": "JIAN MING",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "36989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Tamminga, MD
• Morgan Tampke, RN
• Tamyra Johnson PSYD PLLC
• Anthony Norman Tan
• Cornelia W. Tan, MD
• Egzona Tan, APRN
• Jenny Tan, MD
• Jessica Tan
• Jun Tan
• Loan Tan

• Prosthodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.