Active NPI
Dorothy Tze Yan Pang, D.D.S.,M.S.
- Pediatric Dentistry
- San Francisco, CA
National Provider Identifier
1407978976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 39996
- Practice address
- 823 Taraval St
San Francisco, CA 94116-2428 - Phone
- (415) 661-8383
- Fax
- (415) 661-8330
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 39996 | CA | Primary |
Addresses
Primary practice location
823 Taraval St
San Francisco, CA 94116-2428
Mailing address
460 Gold Mine Dr
San Francisco, CA 94131-2528
Phone (415) 826-6697
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39996 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1407978976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 GOLD MINE DR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312528",
"telephone_number": "415-826-6697",
"fax_number": "415-826-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 TARAVAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162428",
"telephone_number": "415-661-8383",
"fax_number": "415-661-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "DOROTHY",
"middle_name": "TZE YAN",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "39996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.