Tina S. Tan, DM.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-020060 Issued in IL

Practice address

214 S Emerson St
Mt Prospect, IL 60056-3247

Phone

(847) 577-7500

NPI assigned

Oct 20, 2014

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

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1134523103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S EMERSON ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563247",
            "telephone_number": "847-577-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S EMERSON ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563247",
            "telephone_number": "847-577-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "TINA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "DM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-020060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewa B Swidzinska
• Symmetrix Home Healthcare, Inc.
• Michal Cezary Szczupak, M.D.
• Linda M Szewczyk, RPH.
• Andrew Tamras, DC
• Manish Tanna, MD
• Kathryn Bernadette Tax, DPT
• Paige Nicole Taylor
• Clara Teall, MT-BC, NMT
• Katarzyna Wilhelm Terracciano, CCC-SLP

• General Practice Dentistry in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.