NPIMap

Organization Active NPI

Gorden Pang Dental Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1699540518
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GORDEN PANG DENTAL CORPORATION
Practice address
301 W Bastanchury Rd Ste 260
Fullerton, CA 92835-3431
Phone
(714) 879-4910
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gorden Pang, DDS
Title
Owner
Phone
(402) 598-5192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 W Bastanchury Rd Ste 260
Fullerton, CA 92835-3431

Mailing address

15281 Danborough St
Westminster, CA 92683-7010
Phone (402) 598-5192

Other names 1

  • Fullerton Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1699540518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15281 DANBOROUGH ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837010",
            "telephone_number": "402-598-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD STE 260",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353431",
            "telephone_number": "714-879-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDEN PANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "GORDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-598-5192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.