Individual provider Active NPI

Ronald Louis Tanno, DDS

  • Dentist
  • Orland, CA
National Provider Identifier
1487749131
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17397 Issued in CA
Practice address
1211 Cortina Dr
Orland, CA 95963-1699
Phone
(530) 865-5561
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17397 CA Primary

Addresses

Primary practice location

1211 Cortina Dr
Orland, CA 95963-1699

Mailing address

1211 Cortina Dr
Orland, CA 95963-1699
Phone (530) 865-5561

Other identifiers 1

IdentifierTypeStateIssuer
17397OtherCALICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170214001088 CA Order and Referring Only - DentistPractitioner - Dentist 6305129594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1487749131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CORTINA DR",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631699",
            "telephone_number": "530-865-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CORTINA DR",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631699",
            "telephone_number": "530-865-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNO",
        "first_name": "RONALD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "17397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "17397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.