Individual provider Active NPI

Angela Laithangbam, DDS

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1396114716
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64900 Issued in CA
Practice address
505 South Dr Ste 1
Mountain View, CA 94040-4210
Phone
(650) 964-5141
NPI assigned
Sep 15, 2015
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64900 CA Primary

Addresses

Primary practice location

505 South Dr Ste 1
Mountain View, CA 94040-4210

Mailing address

505 South Dr Ste 1
Mountain View, CA 94040-4210
Phone (650) 964-5141

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

State licenses

LicenseStateTypeSpecialty
64900CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Laithangbam, DDS Inc CurrentSince Jul 22, 2025 Accepting new patients

Locations

505 South Dr
Ste 1
Mountain View, CA 94040
Phone (650) 964-5141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1396114716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SOUTH DR STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404210",
            "telephone_number": "650-964-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SOUTH DR STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404210",
            "telephone_number": "650-964-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITHANGBAM",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.