NPI Code Detail JSON Logo

1356232359 NPI number — TAI DANG DMD, RN

NPI Number: 1356232359
Health Care Provider/Practitioner: TAI DANG DMD, RN

Information about “1356232359” NPI (TAI DANG DMD, RN) exists in 1356232359 in HTML format HTML  |  1356232359 in plain Text format TXT  |  1356232359 in PDF (Portable Document Format) PDF  |  1356232359 in an XML format XML  formats.

NPI Number : 1356232359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356232359",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANG",
    "FirstName": "TAI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9100 TRUMBAUER WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELK GROVE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95758-7434",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-586-8660",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9275 E STOCKTON BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELK GROVE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95624-5067",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-688-1990",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/09/2025",
    "LastUpdateDate": "07/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "111954",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.