NPIMap

Organization Active NPI

Tahoe City Dental Group

  • Dentist
  • Tahoe City, CA
National Provider Identifier
1043393739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41219 Issued in CA
Legal business name
TAHOE CITY DENTAL GROUP
Practice address
140 Mackinaw St
Tahoe City, CA 96145
Phone
(530) 583-0278
Fax
(530) 583-8660
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Raymond Tomlinson, DDSNPI 1417020413
Title
Owner Partner DDS
Phone
(530) 583-0278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 25458 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 41219 CA Primary

Addresses

Primary practice location

140 Mackinaw St
Tahoe City, CA 96145

Mailing address

PO Box 5129
140 Mackinaw St
Tahoe City, CA 96145
Phone (530) 583-0278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043393739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5129",
            "address_2": "140 MACKINAW ST",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "96145",
            "telephone_number": "530-583-0278",
            "fax_number": "530-583-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MACKINAW ST",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "96145",
            "telephone_number": "530-583-0278",
            "fax_number": "530-583-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE CITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER PARTNER DDS",
        "authorized_official_telephone_number": "530-583-0278",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25458",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoe City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.