Grace Tang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100644 Issued in CA

Practice address

20700 Lake Chabot Rd
Castro Valley, CA 94546-5401

Phone

(510) 581-8888

NPI assigned

Aug 4, 2016

Sex

Female

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1801340112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WASHINGTON ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465401",
            "telephone_number": "510-581-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Lone Tree Way Ste F",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096037",
            "country_code": "US",
            "telephone_number": "415-385-8575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Lone Tree Way Ste F",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096037",
            "country_code": "US",
            "telephone_number": "415-385-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannel Aurea Enriquez Marinas Tan
• Stanley Andrew Tan, MD
• Nitin Tandan
• Alan Scott Tang, DPT
• Evelyn Tang, OTR
• Wayman Tang, DDS
• Alan Tanisawa, D.D.S.
• Michele M Tarkington, MFT
• Katherine Tegenkamp
• Jennie Teixeira, LMFT

• General Practice Dentistry in Castro Valley, CA
• Providers in Castro Valley, 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 Apr 26, 2018; 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.