Active NPI
Aziebong M Atang, DDS
- Dentist
- Pasadena, TX
National Provider Identifier
1992897870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20626
- Practice address
- 2019 S Shaver St
Pasadena, TX 77502 - Phone
- (713) 477-2900
- Fax
- (713) 477-2995
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- 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 | 20626 | TX | Primary |
Addresses
Primary practice location
2019 S Shaver St
Pasadena, TX 77502
Mailing address
2019 S Shaver St
Pasadena, TX 77502
Phone (713) 477-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143989503 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1992897870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 S SHAVER ST",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-477-2900",
"fax_number": "713-477-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 S SHAVER ST",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-477-2900",
"fax_number": "713-477-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATANG",
"first_name": "AZIEBONG",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "20626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143989503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.