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NPISignal

Individual Healthcare Provider

Phung T Dang, M.D.

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1174626840
Saint Louis, Missouri

Provider's NPPES record last updated: June 19, 2015

Overview

Entity Type
Individual Healthcare Provider
NPI
1174626840
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Saint Louis, Missouri
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:57 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Rehabilitation Practitioner

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

    Taxonomy code 225400000X

Provider-Reported License Information

Pain Medicine (Missouri)
R5G74
Rehabilitation Practitioner (Missouri)
R5G74
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

12414 Stratford Ridge Ct

Saint Louis, Missouri 63141-6383

Phone: (314) 277-2163

Record Information

Enumeration Date
September 7, 2006
Provider's NPPES Record Last Updated
June 19, 2015
NPISignal NPPES Dataset
August 2026

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