Individual provider Active NPI

Hung T Dang, M.D.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1376541656
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5500 Issued in TX
Practice address
3020 Matlock Rd
#200
Arlington, TX 76015-2901
Phone
(817) 468-5252
Fax
(817) 468-5257
NPI assigned
Jul 12, 2005
Reactivated
Mar 22, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5500 TX Primary

Addresses

Primary practice location

3020 Matlock Rd
#200
Arlington, TX 76015-2901

Mailing address

3020 Matlock Rd
#200
Arlington, TX 76015-2901
Phone (817) 468-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000935 TX Practitioner - Family Practice 7113813635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3020 Matlock Rd
Suite 200
Arlington, TX 76015-2901
Phone (817) 468-5252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5500TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matlock Family Clinic, P.a. Family Medicine CurrentSince Dec 1, 2004 Accepting new patients
Matlock Family Clinic, P.a. Past Accepting new patients

Locations

3020 Matlock Rd
Ste 200
Arlington, TX 76015
Phone (817) 468-5252

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1376541656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MATLOCK RD",
            "address_2": "#200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152901",
            "telephone_number": "817-468-5252",
            "fax_number": "817-468-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 MATLOCK RD",
            "address_2": "#200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152901",
            "telephone_number": "817-468-5252",
            "fax_number": "817-468-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "HUNG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-11-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.