Active NPI
Mary Dang, PA-C
- Physician Assistant
- Thornton, CO
National Provider Identifier
1891134938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 0003595
- Practice address
- 9351 Grant St Ste 600
Thornton, CO 80229-4373 - Phone
- (720) 531-8377
- NPI assigned
- Jun 21, 2013
- Last updated
- Dec 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 0003595 | CO | Primary |
Addresses
Primary practice location
9351 Grant St Ste 600
Thornton, CO 80229-4373
Mailing address
9351 Grant St Ste 600
Thornton, CO 80229-4373
Phone (720) 531-8377
Other names 1
- Mary Dang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 0003595 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1891134938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 GRANT ST STE 600",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294373",
"telephone_number": "720-531-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 GRANT ST STE 600",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294373",
"telephone_number": "720-531-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA 0003595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DANG",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.