Tanner Ray Bamforth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027246 Issued in OH

Practice address

1558 Coshocton Ave
Mount Vernon, OH 43050-5416

Phone

(740) 200-5318

NPI assigned

May 31, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1336832872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 TOWNSHIP ROAD 216",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349411",
            "telephone_number": "614-735-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430505416",
            "telephone_number": "740-200-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMFORTH",
        "first_name": "TANNER",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilliann K Baker
• Kaitlyn Baker
• Kristin E Baker, CNP
• Christina N Ballantyne
• Aaron Ballard, DPT
• Barbara H Banbury
• Krista Bankes
• Carrie Ann Banks, RN
• Laura Marie Barbuto, CNP
• Rebecca Sue Barnes, LISW

• Dentist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.