James Fang, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40236 Issued in CA

Legal business name

JAMES FANG, D.D.S., INC.

Doing business as

Star Dental Practice

Practice address

18750 Colima Rd Ste A1
Rowland Heights, CA 91748-2962

Phone

(626) 965-2521

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jurie Du Fang, D.D.S.

Title

Corporate Secretary, Dentist

Phone

(626) 965-2521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Star Dental Practice Doing business as

Tax ID family

James Fang DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• James Fang, D.D.S., Inc.

  dba Star Dental Practice

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1932316411
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Fang, DDS

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1457439820
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407063811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18750 COLIMA RD STE A1",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482962",
            "telephone_number": "626-965-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18750 COLIMA RD STE A1",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482962",
            "telephone_number": "626-965-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES FANG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "JURIE",
        "authorized_official_middle_name": "DU",
        "authorized_official_title_or_position": "CORPORATE SECRETARY, DENTIST",
        "authorized_official_telephone_number": "626-965-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING PIN",
            "identifier": "G91417-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.