Active NPI
Myron Jay Taranow, DDS
- General Practice Dentistry
- Oakland, CA
National Provider Identifier
1437155348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23246
- Practice address
- 2080 Mountain Blvd
Ste 209
Oakland, CA 94611-2829 - Phone
- (510) 339-1544
- Fax
- (510) 339-1546
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23246 | CA | Primary |
Addresses
Primary practice location
2080 Mountain Blvd
Ste 209
Oakland, CA 94611-2829
Mailing address
6201 Antioch St
Ste 102
Oakland, CA 94611-2945
Phone (510) 339-1544
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Dental Care | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Oakland, CA
- NPI 1992147409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437155348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 ANTIOCH ST",
"address_2": "STE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112945",
"telephone_number": "510-339-1544",
"fax_number": "510-339-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 MOUNTAIN BLVD",
"address_2": "STE 209",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112829",
"telephone_number": "510-339-1544",
"fax_number": "510-339-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANOW",
"first_name": "MYRON",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- 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.