Active NPI
John Tan, D.D.S
- General Practice Dentistry
- McAllen, TX
National Provider Identifier
1689958514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27351
- Practice address
- 2200 Trenton Rd
Suite 3a
McAllen, TX 78504-6354 - Phone
- (956) 682-4440
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27351 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 60490 | CA |
Addresses
Primary practice location
2200 Trenton Rd
Suite 3a
McAllen, TX 78504-6354
Mailing address
2200 Trenton Rd
Suite 3a
McAllen, TX 78504
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 |
|---|---|---|---|
| 27351 | TX | MD | General Practice Dentistry |
| 60490 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Concepts PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1689958514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 TRENTON RD",
"address_2": "SUITE 3A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 TRENTON RD",
"address_2": "SUITE 3A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046354",
"telephone_number": "956-682-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27351",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "60490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.