Organization Active NPI

Elizabeth Tan D.M.D.

Doing business as Newpark Plaza Dental

  • General Practice Dentistry
  • Newark, CA
National Provider Identifier
1548413305
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELIZABETH TAN D.M.D.
Doing business as
Newpark Plaza Dental
Practice address
5270 Newpark PLZ
Newark, CA 94560-5221
Phone
(510) 791-8118
Fax
(510) 797-8881
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Ms. Maggie M Turan
Title
Insurance Coordinator
Phone
(510) 791-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5270 Newpark PLZ
Newark, CA 94560-5221

Mailing address

5270 Newpark PLZ
Newark, CA 94560-5221
Phone (510) 791-8118

Other names 1

  • Newpark Plaza Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5270 Newpark Plz
Newark, CA 94560
Phone (510) 791-8118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1548413305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 NEWPARK PLZ",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605221",
            "telephone_number": "510-791-8118",
            "fax_number": "510-797-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NEWPARK PLZ",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605221",
            "telephone_number": "510-791-8118",
            "fax_number": "510-797-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH TAN D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "TURAN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "510-791-8118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newpark Plaza Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.