Melanie Phuong Tang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014433 Issued in GA

Practice address

4750 Austell Rd
Austell, GA 30106-2004

Phone

(770) 948-8888

NPI assigned

Jul 5, 2012

Last updated

Jan 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austell Dental Associates, LLC

  • General Practice Dentistry
  • Austell, GA
  • NPI 1497877658
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1629333653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 VININGS ESTATES DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265907",
            "telephone_number": "678-294-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062004",
            "telephone_number": "770-948-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MELANIE",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clement T Tabe
• Emily Jane Tackett, CPNP
• Abdalsamih Taeb, MD
• Orteasa Maria Tafie, CNA
• Samuel Ayuk Takor
• Kamaria Taylor-McCune, PHD, LPC
• Karen L Taylor, PHARMD
• Kinsey Taylor, LPC
• Horace Wayne Templeton, M.D
• Katharine Colson Templeton, PA

• General Practice Dentistry in Austell, GA
• Providers in Austell, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.