NPIMap

Organization Active NPI

Yao-Lin Tang D.D.S. Inc.

Doing business as Pacific Dental Center

  • Dentist
  • San Mateo, CA
National Provider Identifier
1710199195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
YAO-LIN TANG D.D.S. INC.
Doing business as
Pacific Dental Center
Practice address
100 S El Camino Real
San Mateo, CA 94401-3810
Phone
(650) 343-4040
Fax
(650) 347-6322
NPI assigned
May 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yao-Lin Tang, D.D.S.NPI 1295888337
Title
President
Phone
(650) 343-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

100 S El Camino Real
San Mateo, CA 94401-3810

Mailing address

100 S El Camino Real
San Mateo, CA 94401-3810
Phone (650) 343-4040

Other identifiers 1

IdentifierTypeStateIssuer
G91251-01OtherCADENTI-CAL PROVIDER NUMBER

Other names 1

  • Pacific Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710199195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013810",
            "telephone_number": "650-343-4040",
            "fax_number": "650-347-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013810",
            "telephone_number": "650-343-4040",
            "fax_number": "650-347-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAO-LIN TANG D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "YAO-LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-343-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G91251-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.