Active NPI
Meryl Camille Tan Cabanes, DMD
- Dentist
- Los Angeles, CA
National Provider Identifier
1356059810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61254647
- Practice address
- 1850 Whitley Ave Apt 618
Los Angeles, CA 90028-4954 - Phone
- (424) 781-2021
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61254647 | WA | Primary |
Addresses
Primary practice location
1850 Whitley Ave Apt 618
Los Angeles, CA 90028-4954
Mailing address
1850 Whitley Ave Apt 618
Los Angeles, CA 90028-4954
Phone (424) 781-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61254647 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1356059810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 WHITLEY AVE APT 618",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284954",
"telephone_number": "424-781-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 WHITLEY AVE APT 618",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284954",
"telephone_number": "424-781-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANES",
"first_name": "MERYL CAMILLE",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61254647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.