Russell Tang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011889 Issued in AZ

Practice address

3750 W Greenway Rd
Phoenix, AZ 85053-3703

Phone

(602) 223-1832

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1740968056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 33RD AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223144",
            "telephone_number": "415-876-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533703",
            "telephone_number": "602-223-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "RUSSELL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Y Tang, CTRS
• Lauren Tang
• Michelle Tang, DO
• Nguyen Quoc Tang, RPH
• Ron Tang, DO
• Tracey Tang, PHARMD
• Troy Tangeman, LPC
• Shyam Sundar Tangri, M.D.
• Tannaco Corporation (PressurFree)
• Matthew Tanneberg, DC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.