Organization Active NPI

Dan B. Ang DDS, LLC

  • Endodontics
  • Golden Valley, MN
National Provider Identifier
1952028490
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DAN B. ANG DDS, LLC
Practice address
5851 Duluth Street
Suite 313
Golden Valley, MN 55422-3957
Phone
(763) 542-8723
Fax
(763) 512-1942
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Dan Beck Ang, DDS
Title
Owner
Phone
(763) 542-8723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5851 Duluth Street
Suite 313
Golden Valley, MN 55422-3957

Mailing address

5851 Duluth Street
Suite 313
Golden Valley, MN 55422-3957
Phone (763) 542-8723

National Provider Directory

National Provider Directory
Tax ID family
Dan B Ang DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5851 Duluth St
Ste 313
Golden Valley, MN 55422
Phone (763) 542-8723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1952028490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE 313",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223957",
            "telephone_number": "763-542-8723",
            "fax_number": "763-512-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE 313",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223957",
            "telephone_number": "763-542-8723",
            "fax_number": "763-512-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN B. ANG DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "BECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-542-8723",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.