Organization Active NPI

Calvin Dang, DDS, a Professional Dental Corporation

  • Periodontics
  • Fountain Valley, CA
National Provider Identifier
1811284169
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
57441 Issued in CA
Legal business name
CALVIN DANG, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
11538 Quartz Ave
Fountain Valley, CA 92708-2532
Phone
(714) 331-8877
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Calvin Triet Dang, D.D.S., M.S.NPI 1255637526
Title
President
Phone
(714) 331-8877

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 57441 CA Primary

Addresses

Primary practice location

11538 Quartz Ave
Fountain Valley, CA 92708-2532

Mailing address

11538 Quartz Ave
Fountain Valley, CA 92708-2532
Phone (714) 331-8877

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1811284169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 QUARTZ AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082532",
            "telephone_number": "714-331-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 QUARTZ AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082532",
            "telephone_number": "714-331-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN DANG, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "TRIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-331-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "57441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.