Nazanin Tanha, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2901601099 Issued in MI

Practice address

1080 Creekwood TRL
Burton, MI 48509-1564

Phone

(810) 743-4536

NPI assigned

Sep 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Happy Dental PLLC

  • Dental Clinic/Center
  • Burton, MI
  • NPI 1720688831
  NPD
• Z & W PLLC

  • Dental Clinic/Center
  • Warren, MI
  • NPI 1649870767
  NPD
• Northport Dentistry PLLC

  • Dentist
  • Warren, MI
  • NPI 1992108914
  NPD (past)

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1053081372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32837 HAYES RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480887367",
            "telephone_number": "586-294-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 CREEKWOOD TRL",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091564",
            "telephone_number": "810-743-4536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32837 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480887367",
            "country_code": "US",
            "telephone_number": "586-294-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANHA",
        "first_name": "NAZANIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901601099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Wellness Center, PC
• Abdul Hadi Tabbaa, MD
• Burhan Tajour, M.D.
• Naofiumi Takemoto, M.D.
• Lan Tang, M.D.
• Alexandrea Taylor
• Damascus Malik J Shan Taylor
• Jeffery Mark Taylor II
• Shariya Taylor
• Tender Dental Care

• Public Health Dentistry in Burton, MI
• Providers in Burton, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.