Organization Active NPI

Titus Tang DDS Inc

  • Dentist
  • Daly City, CA
National Provider Identifier
1831558352
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52475 Issued in CA
Legal business name
TITUS TANG DDS INC
Practice address
59B Serramonte Ctr
Daly City, CA 94015-2345
Phone
(650) 755-1222
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Titus Tang, D.D.SNPI 1073795464
Title
Ceo
Phone
(650) 755-1222

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 52475 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 63855 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 60361 CA

Addresses

Primary practice location

59B Serramonte Ctr
Daly City, CA 94015-2345

Mailing address

59B Serramonte Ctr
Daly City, CA 94015-2345
Phone (650) 755-1222

National Provider Directory

National Provider Directory

Locations

59B Serramonte Ctr
Daly City, CA 94015
Phone (650) 755-1222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1831558352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59B SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-755-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59B SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-755-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS TANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-755-1222",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52475",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63855",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.