Active NPI
Dan B Ang, DDS,LLC
- Endodontics
- Golden Valley, MN
National Provider Identifier
1659611333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D13168
- Legal business name
- DAN B ANG, DDS,LLC
- Practice address
- 5851 Duluth St
Suite 313
Golden Valley, MN 55422-3946 - Phone
- (763) 542-8723
- Fax
- (763) 512-1942
- NPI assigned
- Feb 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dan B Ang, DDS
- Title
- Sole Proprietor
- Phone
- (763) 542-8723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D13168 | MN | Primary |
Addresses
Primary practice location
5851 Duluth St
Suite 313
Golden Valley, MN 55422-3946
Mailing address
5851 Duluth St
Suite 313
Golden Valley, MN 55422-3946
Phone (763) 542-8723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D13168 | Other | MN | STATE DENTAL LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Dan B Ang DDS LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endodontics
- Golden Valley, MN
- NPI 1952028490
Locations
5851 Duluth St
Ste 313
Golden Valley, MN 55422
Phone (763) 542-8723
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Golden Valley, MN
- NPI 1366503054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361145600000",
"number": "1659611333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 DULUTH ST",
"address_2": "SUITE 313",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223946",
"telephone_number": "763-542-8723",
"fax_number": "763-512-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 DULUTH ST",
"address_2": "SUITE 313",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223946",
"telephone_number": "763-542-8723",
"fax_number": "763-512-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN B ANG, DDS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A",
"authorized_official_last_name": "ANG",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "763-542-8723",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "MN",
"license": "D13168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "D13168",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.