Individual provider Active NPI

Arthur J. Tanimoto, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1043440571
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41556 Issued in CA
Practice address
7601 Hospital Dr.
Suite 201
Sacramento, CA 95823
Phone
(916) 682-9966
Fax
(916) 682-8583
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41556 CA Primary

Addresses

Primary practice location

7601 Hospital Dr.
Suite 201
Sacramento, CA 95823

Mailing address

4840 St. Augustine Dr.
Elk Grove, CA 95758-9517
Phone (916) 684-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629001511 CA Order and Referring Only - DentistPractitioner - Dentist 6709198187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1043440571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 ST. AUGUSTINE DR.",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589517",
            "telephone_number": "916-684-2456",
            "fax_number": "916-682-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR.",
            "address_2": "SUITE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-682-9966",
            "fax_number": "916-682-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIMOTO",
        "first_name": "ARTHUR",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.