Active NPI
Tam Thanh Thi Dang, RDH
- Dental Hygienist
- Dorchester, MA
National Provider Identifier
1609523349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH90501
- Practice address
- 1470 Dorchester Ave
Dorchester, MA 02122-1344 - Phone
- (617) 379-3600
- Fax
- (617) 379-3555
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH90501 | MA | Primary |
Addresses
Primary practice location
1470 Dorchester Ave
Dorchester, MA 02122-1344
Mailing address
18 Centre Ave # 2
Dorchester, MA 02124-2313
Phone (781) 363-2762
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 |
|---|---|---|---|
| DH90501 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1609523349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CENTRE AVE # 2",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242313",
"telephone_number": "781-363-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221344",
"telephone_number": "617-379-3600",
"fax_number": "617-379-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "TAM",
"middle_name": "THANH THI",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH90501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.