Individual provider Active NPI

Lamiaa Dang, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1588017453
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009552 Issued in AZ
Practice address
1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369
Phone
(602) 993-3744
NPI assigned
Jul 15, 2016
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009552 AZ Primary

Addresses

Primary practice location

1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369

Mailing address

1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369
Phone (602) 993-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001688 AZ Order and Referring Only - DentistPractitioner - Dentist 9931468675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1588017453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W THUNDERBIRD RD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236369",
            "telephone_number": "602-993-3744",
            "fax_number": "602-993-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W THUNDERBIRD RD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236369",
            "telephone_number": "602-993-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "LAMIAA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.