Active NPI
Brian T Tanaka, D.M.D.
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1194052613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35346
- Practice address
- 2446 Fenton St
Suite 101
Chula Vista, CA 91914-3516 - Phone
- (619) 621-5800
- NPI assigned
- Nov 4, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35346 | CA | Primary |
Addresses
Primary practice location
2446 Fenton St
Suite 101
Chula Vista, CA 91914-3516
Mailing address
2446 Fenton St
Suite 101
Chula Vista, CA 91914-3516
Phone (619) 621-5800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian T. Tanaka, D.M.D., a.P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Chula Vista, CA
- NPI 1225029028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1194052613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2446 FENTON ST",
"address_2": "SUITE 101",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143516",
"telephone_number": "619-621-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 FENTON ST",
"address_2": "SUITE 101",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143516",
"telephone_number": "619-621-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKA",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "35346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.