Bruce Lee Taber, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34906 Issued in CA

Practice address

25835 Barton Rd.
Ste 104
Loma Linda, CA 92354

Phone

(909) 796-2299

Fax

(909) 796-2509

NPI assigned

Nov 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald L Moore DDS Inc

  • General Practice Dentistry
  • Loma Linda, CA
  • NPI 1891348074
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1346670627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25835 BARTON RD.",
            "address_2": "STE 104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-796-2299",
            "fax_number": "909-796-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25835 BARTON RD.",
            "address_2": "STE 104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-796-2299",
            "fax_number": "909-796-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "BRUCE",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1538368154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megann Leigh Synnott
• Nicholas Synstelien
• T.P. Avants MD Inc
• Kim Stefan Ta Duc, PHARMD
• Linh Ta
• Eugene Tabingo
• Neander P. Tabingo, NP
• Maryam Bita Tabrizi, M.D.
• Arnoldo D Tabuenca, M.D.
• Bethlehem Tadesse, RDN

• Dentist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.