Active NPI
Stephanie Tsang, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Jose, CA
National Provider Identifier
1407615016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 106792
- Practice address
- 2075 Forest Ave Ste 2
San Jose, CA 95128-4812 - Phone
- (408) 298-3433
- Fax
- (408) 298-6304
- NPI assigned
- Mar 15, 2024
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 106792 | CA | Primary |
Addresses
Primary practice location
2075 Forest Ave Ste 2
San Jose, CA 95128-4812
Mailing address
16115 Greenwood LN
Monte Sereno, CA 95030-3012
Phone (408) 656-8028
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106792 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Phelps, DDS, Ms and Jason Cohen, DDS, N | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Jose, CA
- NPI 1699034017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1407615016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16115 GREENWOOD LN",
"city": "MONTE SERENO",
"state": "CA",
"postal_code": "950303012",
"telephone_number": "408-656-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 FOREST AVE STE 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284812",
"telephone_number": "408-298-3433",
"fax_number": "408-298-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSANG",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "106792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.