NPIMap

Organization Active NPI

Tanner Family Dentistry, Devin K. Tanner DDS, LLC

  • General Practice Dentistry
  • Green River, WY
National Provider Identifier
1346648656
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1382 Issued in WY
Legal business name
TANNER FAMILY DENTISTRY, DEVIN K. TANNER DDS, LLC
Practice address
220 Shoshone Ave
Green River, WY 82935-5468
Phone
(307) 875-7770
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Devin K Tanner, DDSNPI 1285040634
Title
Owner
Phone
(208) 716-4382

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1382 WY Primary

Addresses

Primary practice location

220 Shoshone Ave
Green River, WY 82935-5468

Mailing address

PO Box 127
Green River, WY 82935-0127
Phone (307) 875-7770

National Provider Directory

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1346648656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829350127",
            "telephone_number": "307-875-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SHOSHONE AVE",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355468",
            "telephone_number": "307-875-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER FAMILY DENTISTRY, DEVIN K. TANNER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-716-4382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

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