David a Tanner DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30463 Issued in CA

Legal business name

DAVID A TANNER DDS INC

Practice address

22800 Lyons Ave Ste 200
Newhall, CA 91321-2898

Phone

(661) 254-1884

NPI assigned

Sep 4, 2015

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Tanner, DDSNPI 1043435936

Title

Owner

Phone

66122541884

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Tanner, DDS

  • General Practice Dentistry
  • Newhall, CA
  • NPI 1043435936
  NPD (past) Authorized official
• Sean K Kutlay, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1225432875
  NPD (past)
• Brian B. Novy, DDS

  • Dentist
  • Newhall, CA
  • NPI 1831221688
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1508234766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22800 LYONS AVE STE 200",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212898",
            "telephone_number": "661-254-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 LYONS AVE STE 200",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212898",
            "telephone_number": "661-254-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A TANNER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "66122541884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Crisol, M.S
• Julie Ellen Criss-Hagerty, PH.D.
• Tracy L Cunningham, D.C.
• Frank J D'Ambrosio, P.T.
• Staci Deanna Daniels-Sommers, LCSW
• David S Kim DDS Corp
• Laurel Mae Davis, LMFT
• Samantha Davis, CLD, CPD, CCBE
• Eleanor Chan De Guzman, D.D.S.
• Karyssa Ann Dela Cruz, CPO

• General Practice Dentistry in Newhall, CA
• Providers in Newhall, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.