Organization Active NPI

Thuan D. Dang MD LLC

  • Surgery Physician
  • Berlin, MD
National Provider Identifier
1982897344
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0059975 Issued in MD
Legal business name
THUAN D. DANG MD LLC
Practice address
29 Broad St
Suite 201
Berlin, MD 21811-1052
Phone
(410) 629-1463
Fax
(410) 641-9573
NPI assigned
Aug 20, 2007
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Thuan D Dang, MD
Title
Surgeon Owner
Phone
(410) 529-1463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0059975 MD Primary

Addresses

Primary practice location

29 Broad St
Suite 201
Berlin, MD 21811-1052

Mailing address

29 Broad St
Suite 201
Berlin, MD 21811-1052
Phone (410) 629-1463

Other identifiers 1

IdentifierTypeStateIssuer
401771400MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1982897344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROAD ST",
            "address_2": "SUITE 201",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111052",
            "telephone_number": "410-629-1463",
            "fax_number": "410-641-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BROAD ST",
            "address_2": "SUITE 201",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111052",
            "telephone_number": "410-629-1463",
            "fax_number": "410-641-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUAN D. DANG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "THUAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SURGEON OWNER",
        "authorized_official_telephone_number": "410-529-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0059975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401771400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.