Individual provider Active NPI

Myron Jay Taranow, DDS

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1437155348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23246 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.