NPIMap

Organization Active NPI

Regina Tan DDS Inc.

  • Dentist
  • La Palma, CA
National Provider Identifier
1346635265
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41314 Issued in CA
Legal business name
REGINA TAN DDS INC.
Practice address
30 Centerpointe Dr
Suite 10
La Palma, CA 90623-1055
Phone
(714) 994-0888
Fax
(714) 994-6038
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Regina Mallari Tan, D.D.S.NPI 1972653491
Title
President
Phone
(714) 994-0888

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41314 CA Primary

Addresses

Primary practice location

30 Centerpointe Dr
Suite 10
La Palma, CA 90623-1055

Mailing address

30 Centerpointe Dr
Suite 10
La Palma, CA 90623-1055
Phone (714) 994-0888

National Provider Directory

National Provider Directory
Tax ID family
Licauco Tan Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1346635265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTERPOINTE DR",
            "address_2": "SUITE 10",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231055",
            "telephone_number": "714-994-0888",
            "fax_number": "714-994-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTERPOINTE DR",
            "address_2": "SUITE 10",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231055",
            "telephone_number": "714-994-0888",
            "fax_number": "714-994-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA TAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MALLARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-994-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.