Active NPI
Van Quoc Dang, D.M.D.
- Dentist
- Federal Way, WA
National Provider Identifier
1881850352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60268473
- Practice address
- 1025 S 320TH St Ste 201
Federal Way, WA 98003-5348 - Phone
- (253) 839-4636
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60268473 | WA | Primary |
Addresses
Primary practice location
1025 S 320TH St Ste 201
Federal Way, WA 98003-5348
Mailing address
2325 S 304TH St
Federal Way, WA 98003-4872
Phone (503) 851-7638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111002354 | WA | Order and Referring Only - Dentist | 6507147246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60268473 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1881850352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 S 304TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034872",
"telephone_number": "503-851-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 320TH ST STE 201",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035348",
"telephone_number": "253-839-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "VAN",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60268473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.