NPIMap

Organization Active NPI

Enmer I Tadeo DDS Inc

  • Dentist
  • Anaheim, CA
National Provider Identifier
1083038533
Registry record updated Jan 31, 2019
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56591 Issued in CA
Legal business name
ENMER I TADEO DDS INC
Practice address
2873 W Lincoln Ave
Anaheim, CA 92801-6226
Phone
(714) 761-7000
Fax
(714) 761-3900
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Dr. Enmer I Tadeo, DDS
Title
President
Phone
(714) 761-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 56591 CA Primary

Addresses

Primary practice location

2873 W Lincoln Ave
Anaheim, CA 92801-6226

Mailing address

2873 W Lincoln Ave
Anaheim, CA 92801-6226
Phone (714) 761-7000

National Provider Directory

National Provider Directory

Locations

2873 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 761-7000

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1083038533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016226",
            "telephone_number": "714-761-7000",
            "fax_number": "714-761-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2873 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016226",
            "telephone_number": "714-761-7000",
            "fax_number": "714-761-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENMER I TADEO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "TADEO",
        "authorized_official_first_name": "ENMER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-761-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.