Tamal Vista Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAMAL VISTA FAMILY DENTISTRY

Practice address

1447 4TH St
San Rafael, CA 94901-2811

Phone

(415) 453-4720

Fax

(415) 453-4727

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Eric Scott, DDSNPI 1356780712

Title

Owner

Phone

(415) 453-4720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Eric Scott, D.D.S.

  • Dentist
  • San Rafael, CA
  • NPI 1356780712
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1154999134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012811",
            "telephone_number": "415-453-4720",
            "fax_number": "415-453-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012811",
            "telephone_number": "415-453-4720",
            "fax_number": "415-453-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAL VISTA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-453-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Leander Tabb Sr.
• Michael S Taekman, M.D.
• Andrew Tai
• Angela Talamantez, OTR/L
• Audrey Winghei Tam, OD
• Denise Tan, PHARMD
• Han Hua Tan, PHARM.D.
• Kong M. Tan, MD
• Rachel Yanrui Tan, PHD
• Mihoko Taniguchi-Brown, LMFT

• Dental Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.