Lyne Tan Sy Tangco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN13935 Issued in FL

Practice address

1706 E Semoran Blvd
Suite 106
Apopka, FL 32703-5651

Phone

(407) 886-8817

Fax

(407) 886-6625

NPI assigned

Nov 8, 2006

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

Other names 1

• Dr. Lyne Sy Tangco Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1831269828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E SEMORAN BLVD",
            "address_2": "SUITE 106",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035651",
            "telephone_number": "407-886-8817",
            "fax_number": "407-886-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E SEMORAN BLVD",
            "address_2": "SUITE 106",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035651",
            "telephone_number": "407-886-8817",
            "fax_number": "407-886-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY TANGCO",
        "first_name": "LYNE",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNE",
            "last_name": "SY TANGCO",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Apopka, FL
• Providers in Apopka, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.