S. Tani, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32622 Issued in CA

Legal business name

S. TANI, A DENTAL CORPORATION

Practice address

1680 S Melrose Dr
#108
Vista, CA 92081-5472

Phone

(760) 727-6800

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Tani

Title

President

Phone

(760) 727-6800

Specialties & licenses 1

Addresses

Other names 1

• Melrose Square Dental Group Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518183003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S MELROSE DR",
            "address_2": "#108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815472",
            "telephone_number": "760-727-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S MELROSE DR",
            "address_2": "#108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815472",
            "telephone_number": "760-727-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. TANI, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANI",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-727-6800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melrose Square Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Vista, CA
• Providers in Vista, 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 Aug 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.