Vitang Technology LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VITANG TECHNOLOGY LLC

Practice address

14662 Franklin Ave Ste H
Tustin, CA 92780-7224

Phone

(312) 888-1300

NPI assigned

Sep 28, 2020

Last updated

Feb 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiachang Zhang, DDS

Title

Manager

Phone

(661) 808-3318

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1487261053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14662 FRANKLIN AVE STE H",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807224",
            "telephone_number": "312-888-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 FRANKLIN AVE STE H",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807224",
            "telephone_number": "312-888-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITANG TECHNOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "JIACHANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-808-3318",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "app.umismile.us",
            "affiliation": "N",
            "endpointDescription": "online portal to submit and manage case",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14662 Franklin Ave Ste H",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927807224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.