Individual provider Active NPI

Derek Tang, DDS

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1760042022
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103721 Issued in CA
Practice address
1555 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571
Phone
(408) 732-1204
NPI assigned
Jun 19, 2019
Last updated
Dec 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103721 CA Primary

Addresses

Primary practice location

1555 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571

Mailing address

1555 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087-4571
Phone (408) 732-1204

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

LicenseStateTypeSpecialty
103721CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Derek H. Tang DDS Inc. CurrentSince Feb 2, 2020 Accepting new patients
Derek H. Tang, DDS, Inc. General Practice CurrentSince Jan 15, 2023 Accepting new patients
Joseph Field DDS Inc. PastSince Feb 1, 2020 Accepting new patients

Locations

640 Mill St
Half Moon Bay, CA 94019
Phone (650) 726-7581

1555 Sunnyvale Saratoga Rd
Sunnyvale, CA 94087
Phone (408) 732-1204

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1760042022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SUNNYVALE SARATOGA RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874571",
            "telephone_number": "408-732-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUNNYVALE SARATOGA RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874571",
            "telephone_number": "408-732-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; 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.