KENNETH ALDRIC TANG DMD
NPI 1639935646
Dentist - Periodontics in Olney, MD

Active since February 27, 2024PECOS Enrolled
3130 OLNEY SANDY SPRING RD, OLNEY, MD 20832(240) 665-5485 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jan 2, 2026 (2 updates tracked since 2026).

About Kenneth Aldric Tang Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ALDRIC TANG DMD (NPI 1639935646) is an individual periodontics provider in Olney, Maryland, licensed in Maryland (18510) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639935646
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameKENNETH ALDRIC TANGCredential: DMD
Location Address3130 OLNEY SANDY SPRING RDOlney, MD 20832-1408
Mailing Address3936 Lincolnshire StAnnandale, VA 22003-2520 · (571) 533-8028
Sole ProprietorYes
Enumeration DateFebruary 27, 2024
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1639935646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in MD · 18510 Licensed in VA · 401419351 Licensed in PA · DS043815 Licensed in NJ · 22DI03124600 Licensed in DC · DEN2001559
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3130 OLNEY SANDY SPRING RD, Olney, MD 20832

Secondary Practice Locations 3

Location 11910 Marlton Pike E Ste 2Cherry Hill, NJ 08003-2123 · Phone (856) 746-6280
Location 21901 S Broad StPhiladelphia, PA 19148-2216 · Phone (215) 383-1422
Location 3385 Garrisonville RdStafford, VA 22554-1545 · Phone (540) 657-7645

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Aldric Tang Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3130 OLNEY SANDY SPRING RD
OLNEY, MD 20832
Dentist (General Practice)
3130 OLNEY SANDY SPRING RD
OLNEY, MD 20832
Dentist (General Practice)
3130 OLNEY SANDY SPRING RD
OLNEY, MD 20832
Dentist (General Practice)
3130 OLNEY SANDY SPRING RD
OLNEY, MD 20832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Tang's NPI number?

The NPI number for Kenneth Tang is 1639935646. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Kenneth Tang located?

Kenneth Tang practices at 3130 Olney Sandy Spring Rd, Olney, MD 20832. The listed phone number is (240) 665-5485.

What is Kenneth Tang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kenneth Tang enrolled in Medicare?

Yes. Kenneth Tang is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Tang accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Combined Life and Humana list Kenneth Tang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Tang was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.