Dina Tanbakuchi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009817 Issued in AZ

Practice address

1880 E Tangerine Rd Ste 190
Oro Valley, AZ 85755-6239

Phone

(520) 544-5590

NPI assigned

Jul 24, 2017

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 MI

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

Practice roles

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.

• Tangerine Dental Group, LLP

  • General Practice Dentistry
  • Oro Valley, AZ
  • NPI 1043459738
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1497278337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E TANGERINE RD STE 190",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E TANGERINE RD STE 190",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556239",
            "telephone_number": "520-544-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANBAKUCHI",
        "first_name": "DINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisham Butros Sweidan, MD
• Akash S Taggarse, MD
• Maria Lourdes A Tagle, OTR/L
• Vivian Taglianetti, M.D.
• Jonathan David Tait, DO
• Tangerine Dental Group, LLP
• Jennifer Tartaglia, M.D.
• Seth Jacob Tate, FNP
• Diane Christian Taylor, LPC
• Troy Joshua Taylor, PHARM. D

• Dentist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.