Organization Active NPI

Christine Ngoc M Tang

  • Dentist
  • Seattle, WA
National Provider Identifier
1568520823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6396 Issued in WA
Legal business name
CHRISTINE NGOC M TANG
Practice address
1207 S Jackson Street Suite #210
Seattle, WA 98144
Phone
(206) 324-6843
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Ngoc My Tang, DDS
Title
Owner
Phone
(206) 324-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6396 WA Primary

Addresses

Primary practice location

1207 S Jackson Street Suite #210
Seattle, WA 98144

Mailing address

24123 Beeson Place
Edmonds, WA 98026
Phone (206) 324-6843

Other identifiers 1

IdentifierTypeStateIssuer
5009980MedicaidWA

National Provider Directory

National Provider Directory

Locations

1207 S Jackson St
Ste 210
Seattle, WA 98144
Phone (206) 324-6843

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568520823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 BEESON PLACE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "206-324-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S JACKSON STREET SUITE #210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-324-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE NGOC M TANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "CHRISTINE NGOC",
        "authorized_official_middle_name": "MY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-324-6843",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5009980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.