Active NPI
Gary Tang, DMD
- Dentist
- Valencia, CA
National Provider Identifier
1609373448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46334
- Practice address
- 28212 Kelly Johnson Pkwy Ste 115
Valencia, CA 91355-5085 - Phone
- (661) 222-9392
- Fax
- (661) 222-9187
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46334 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 115
Valencia, CA 91355-5085
Mailing address
28212 Kelly Johnson Pkwy Ste 115
Valencia, CA 91355-5085
Phone (661) 222-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46334 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1609373448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 115",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555085",
"telephone_number": "661-222-9392",
"fax_number": "661-222-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 115",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555085",
"telephone_number": "661-222-9392",
"fax_number": "661-222-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "46334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.