Individual provider Active NPI

Megan Tanner, D.D.S.

  • General Practice Dentistry
  • Lufkin, TX
National Provider Identifier
1477933620
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32844 Issued in TX
Practice address
102 Christie Dr
Lufkin, TX 75904-5567
Phone
(936) 634-6110
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 32844 TX Primary

Addresses

Primary practice location

102 Christie Dr
Lufkin, TX 75904-5567

Mailing address

102 Christie Dr
Lufkin, TX 75904-5567
Phone (936) 634-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 28, 2019 through Oct 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32844TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
6581LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Center of Lufkin PastSince Jan 10, 2021 Accepting new patients
Mandeville Dental Care, LLC Past Accepting new patients
Warren Alyse Dental Group, PLLC General Practice PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 3

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1477933620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045567",
            "telephone_number": "936-634-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045567",
            "telephone_number": "936-634-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MEGAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.