Active NPI
Curtis Kei Tanabe, D.D.S.
- Dentist
- Grand Forks, ND
National Provider Identifier
1083852115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1557
- Practice address
- 1197 S Columbia Rd
Grand Forks, ND 58201-4033 - Phone
- (701) 775-4751
- Fax
- (701) 746-4931
- NPI assigned
- Jan 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1557 | ND | Primary |
Addresses
Primary practice location
1197 S Columbia Rd
Grand Forks, ND 58201-4033
Mailing address
1197 South Columbia Road
Grand Forks, ND 58201-4033
Phone (701) 775-4751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1083852115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1197 SOUTH COLUMBIA ROAD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014033",
"telephone_number": "701-775-4751",
"fax_number": "701-746-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014033",
"telephone_number": "701-775-4751",
"fax_number": "701-746-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANABE",
"first_name": "CURTIS",
"middle_name": "KEI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.