David S Jang

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

125 Medical Park LN Ofc Park
Huntsville, TX 77340-4905

Phone

(936) 291-3219

Fax

(936) 291-7206

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: david.jang.1@13218.direct.athenahealth.com

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1558116574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 LOST MEADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793197",
            "telephone_number": "832-660-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK LN OFC PARK",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404905",
            "telephone_number": "936-291-3219",
            "fax_number": "936-291-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Memorial Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404940",
            "country_code": "US",
            "telephone_number": "936-291-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "DAVID",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interdiscipliinary Pain Management
• Internal Medicine Associates of Huntsville, PLLC
• Ja Robles & Associates Inc
• Dhanya Mary Jacob, DO
• Dayana Noemi Jacome, AGACNP
• Alannah Jenkins, M.S. SLP INTERN
• John E Pinkstaff M D PLLC
• Kellie Diann Johnson
• Melissa T Johnson, PHARM.D., BCPS
• Pamela Maine Johnson, LCSW

• Student in an Organized Health Care Education/Training Program in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.