Isabel Tamanaha Grundy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042409 Issued in NY

Practice address

145 Vermilyea Ave
Suite #27
New York, NY 10034

Phone

(212) 567-1729

Fax

(212) 567-0909

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356550735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VERMILYEA AVE",
            "address_2": "SUITE #27",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-567-1729",
            "fax_number": "212-567-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VERMILYEA AVE",
            "address_2": "SUITE #27",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-567-1729",
            "fax_number": "212-567-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMANAHA GRUNDY",
        "first_name": "ISABEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042409",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Tam, M.D.
• Jonathan Tamaiev, MD
• Mark-Avery Tamakloe, MD
• Albina M Tamalonis-Olofsson, PSY.D.
• Kasey Tamamoto, MD
• Dietmar Tamandl, M.D.
• Pratikshya Tamang
• Roselle Matterig Tamani
• Mirza R Tamanna
• Tamar Cares, PLLC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.