NPIMap

Organization Active NPI

Dennis L Tank DDS PC

  • Dentist
  • Port Hueneme, CA
National Provider Identifier
1306991807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21068 Issued in CA
Legal business name
DENNIS L TANK DDS PC
Practice address
475 W Channel Islands Blvd
203
Port Hueneme, CA 93041
Phone
(805) 985-0300
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Lane Tank, DDS
Title
Pres Owner
Phone
(805) 985-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21068 CA Primary

Addresses

Primary practice location

475 W Channel Islands Blvd
203
Port Hueneme, CA 93041

Mailing address

475 W Channel Islands Blvd
203
Port Hueneme, CA 93041
Phone (805) 985-0300

National Provider Directory

National Provider Directory

Locations

475 W Channel Islands Blvd
Ste 203
Port Hueneme, CA 93041
Phone (805) 985-0300

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306991807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W CHANNEL ISLANDS BLVD",
            "address_2": "203",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "93041",
            "telephone_number": "805-985-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W CHANNEL ISLANDS BLVD",
            "address_2": "203",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "93041",
            "telephone_number": "805-985-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L TANK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "805-985-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "21068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.