An Dang Tu, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38142 Issued in CA

Practice address

9872 Chapman Ave
Suite # 106
Garden Grove, CA 92841-2737

Phone

(714) 590-1718

Fax

(714) 590-9851

NPI assigned

Nov 30, 2006

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

Other identifiers 3

Other names 1

• Tom Dang Tu Professional name

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760550784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE",
            "address_2": "SUITE # 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412737",
            "telephone_number": "714-590-1718",
            "fax_number": "714-590-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE",
            "address_2": "SUITE # 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412737",
            "telephone_number": "714-590-1718",
            "fax_number": "714-590-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "AN",
        "middle_name": "DANG",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMI",
            "identifier": "B38142",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3814201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "899474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "TU",
            "middle_name": "DANG",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stella Ida Tryon
• Tsai, Hsiao & Loo Dental Corporation
• Mulika Y Tsi
• Jamal Alexander Tsoukalas
• Trent Kazuma Tsushio
• Christine Nguyen Tu, ACSW
• Tam Thanh Tu, PHARM.D
• Sharayne Tuala
• Tuan Anh Luong DDS Inc
• Tuan Duc Nguyen Chiropractic Inc.

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.