RSS Carissa Tanaka LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10969 Issued in CT

Legal business name

RSS CARISSA TANAKA LLC

Practice address

901 Farmington Ave Ste 3
West Hartford, CT 06119

Phone

(844) 859-2525

NPI assigned

Jun 3, 2017

Last updated

Jan 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Marie Brown

Title

Director

Phone

(817) 440-7470

Specialties & licenses 1

Addresses

Other names 1

• Renew Sleep Solutions Other name

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1295263218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEXAN TRL STE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE STE 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06119",
            "telephone_number": "844-859-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS CARISSA TANAKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-03",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-440-7470"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Sleep Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Rourke, PA-C
• Melinda Roussopoulos
• Noah Roy
• Shumita Roy, PHD
• Alex I Roytburg
• Stacey H Rubin, APRN
• Karen Lee Rubinow, D.C., FIACA
• Ruby Psychiatric Services, PLLC
• Mary G Ruddat, MD
• Donald S Ruffett, MD

• General Practice Dentistry in West Hartford, CT
• Providers in West Hartford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.