NPIMap

Organization Active NPI

Brian T. Tanaka, D.M.D., a.P.C.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1225029028
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35346 Issued in CA
Legal business name
BRIAN T. TANAKA, D.M.D., A.P.C.
Practice address
2446 Fenton St
Suite 101
Chula Vista, CA 91914-3516
Phone
(619) 621-5800
Fax
(619) 621-5700
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Brian T Tanaka, D.M.D.NPI 1194052613
Title
Owner
Phone
(619) 621-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

2446 Fenton St
Ste 101
Chula Vista, CA 91914
Phone (619) 621-5800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1225029028",
    "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",
            "fax_number": "619-621-5700"
        },
        {
            "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",
            "fax_number": "619-621-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN T. TANAKA, D.M.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-621-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Sep 4, 2007; 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.