Sophia Tan-Dumitrescu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D9026 Issued in OR

Practice address

9705 NE 108TH CT
Vancouver, WA 98662-3384

Phone

(503) 680-4406

Fax

(360) 882-3325

NPI assigned

Mar 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1245472125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33233",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972923233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 NE 108TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623384",
            "telephone_number": "503-680-4406",
            "fax_number": "360-882-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-DUMITRESCU",
        "first_name": "SOPHIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9026",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49680",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE9182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Elam
• Patricia Marie Tamayao, RDH
• Victoria Tamis, PHARMD
• Tamme Davis, D.O., PLLC
• Jessica Tamura, DPT
• Cherry Tan, BSN, RN, CCRN
• Chong-Yang Tan, D.O.
• Julianna Tan
• Megan Tan, DPT
• Sur Tan, DPT

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.