Richard J Tananis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001134 Issued in DE

Practice address

12000 Old Vine Blvd Unit 112
Lewes, DE 19958-1717

Phone

(302) 645-4726

Fax

(302) 485-5863

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Richard J. Tananis, D.D.S., L.L.C.

  • General Practice Dentistry
  • Laurel, DE
  • NPI 1497884357
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1104955160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 OLD VINE BLVD UNIT 112",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581717",
            "telephone_number": "302-645-4726",
            "fax_number": "302-485-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 OLD VINE BLVD UNIT 112",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581717",
            "telephone_number": "302-645-4726",
            "fax_number": "302-485-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANANIS",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000179548",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericson N Tabaco
• Deborah M Tabulov, N.P.
• Haley Tait, RN
• Brooke Talbot, RN
• Lydia Tan
• Arlene Tantiangco, PT
• Terri Tappan
• Prosper Tarley, PA-C
• Genevieve Tatara, DPT
• Ramakrishna Tatineni, MD

• General Practice Dentistry in Lewes, DE
• Providers in Lewes, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.