Daraporn Tanpattana, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

47326 Issued in CA

Practice address

11340 W Olympic Blvd
#360
Los Angeles, CA 90064-1608

Phone

(310) 473-2727

Fax

(310) 473-2141

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396961900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S BUNDY DR",
            "address_2": "#5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252108",
            "telephone_number": "310-826-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "#360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-473-2727",
            "fax_number": "310-473-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANPATTANA",
        "first_name": "DARAPORN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "47326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sliman Costa Tannous
• Vanessa Tannous, PHARMD
• Michael Takeshi Tanoue, M.D.
• Ruth S. Tanouye
• Wendy Tanouye, PHARMD
• Mara Tansman, PSY.D.
• Khaimyn Jahrayl Tantay
• Robert Chirasak Tanthanasiridej, D.C.
• Fabiana Tantini
• Mantana Tantisirirat

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.