Organization Active NPI

Darron Tanioka DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Temecula, CA
National Provider Identifier
1508105255
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DARRON TANIOKA DDS INC
Doing business as
creekside dental
Practice address
41785 Nicole LN Ste A3
Temecula, CA 92591-3874
Phone
(951) 699-3250
Fax
(951) 699-3830
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Dr. Andy Hoang, DDS
Title
Owner
Phone
(951) 699-3250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

41785 Nicole LN Ste A3
Temecula, CA 92591-3874

Mailing address

41785 Nicole LN Ste A3
Temecula, CA 92591-3874
Phone (951) 699-3250

Other names 1

  • creekside dental Doing business as

National Provider Directory

National Provider Directory

Locations

41785 Nicole Ln
Ste A2
Temecula, CA 92591
Phone (951) 699-3250

41785 Nicole Ln
Ste A3
Temecula, CA 92591
Phone (951) 699-3250

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1508105255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41785 NICOLE LN STE A3",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913874",
            "telephone_number": "951-699-3250",
            "fax_number": "951-699-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41785 NICOLE LN STE A3",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913874",
            "telephone_number": "951-699-3250",
            "fax_number": "951-699-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRON TANIOKA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-699-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "creekside dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "creekside dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.