David J Tangaro, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3658826004 Issued in UT

Practice address

2880 W 4700 S
Suite B
Salt Lake City, UT 84118-2156

Phone

(801) 982-1404

Fax

(801) 982-1365

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ensign Peak Services Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1124139654
  NPD (past)
• Ensign Peak Services, Inc.

  • Foster Care Agency
  • Salt Lake City, UT
  • NPI 1417268673
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1659692648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182156",
            "telephone_number": "801-982-1404",
            "fax_number": "801-982-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182156",
            "telephone_number": "801-982-1404",
            "fax_number": "801-982-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGARO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "3658826004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashank Tandon
• Cheok Long Tang
• Christine Tang, PA-C
• William Tang, MD
• William Tang
• Rachel Allyson Tangaro, M.D.
• Jordan Tangeman
• Gabrielle Tangren
• Lloyd Yasuo Tani, M.D.
• Sean M. Tanino, MD

• Professional Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.