Active NPI
Victor Viet Tadang, DDS
- General Practice Dentistry
- Garden Grove, CA
National Provider Identifier
1417032020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31152
- Practice address
- 9872 Chapman Ave.
Suite 106
Garden Grove, CA 92841-2718 - Phone
- (714) 539-8438
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31152 | CA | Primary |
Addresses
Primary practice location
9872 Chapman Ave.
Suite 106
Garden Grove, CA 92841-2718
Mailing address
9872 Chapman Ave.
Suite 106
Garden Grove, CA 92841-2718
Phone (714) 539-8438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B31152 | Other | CA | DENTI-CAL PROVIDER |
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 |
|---|---|---|---|
| 31152 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417032020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE.",
"address_2": "SUITE 106",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412718",
"telephone_number": "714-539-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE.",
"address_2": "SUITE 106",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412718",
"telephone_number": "714-539-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADANG",
"first_name": "VICTOR",
"middle_name": "VIET",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER",
"identifier": "B31152",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.