Active NPI
Derick Dang DO, D.D.S.
- Dentist
- Houston, TX
National Provider Identifier
1912047135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20355
- Practice address
- 6306 Gulfton St
Suite# 201
Houston, TX 77081-1108 - Phone
- (713) 541-3013
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 20355 | TX | Primary |
Addresses
Primary practice location
6306 Gulfton St
Suite# 201
Houston, TX 77081-1108
Mailing address
6306 Gulfton St
Suite #201
Houston, TX 77081-1117
Phone (713) 541-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20355 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1912047135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6306 GULFTON ST",
"address_2": "SUITE #201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811117",
"telephone_number": "713-541-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6306 GULFTON ST",
"address_2": "SUITE# 201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811108",
"telephone_number": "713-541-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "DERICK",
"middle_name": "DANG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "20355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.