Active NPI
Renee Kameko Tanabe, DDS
- Dentist
- Live Oak, CA
National Provider Identifier
1578836706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61170
- Practice address
- 9900 Larkin Rd
Live Oak, CA 95953-2442 - Phone
- (530) 695-1884
- NPI assigned
- Feb 19, 2012
- Last updated
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61170 | CA | Primary |
Addresses
Primary practice location
9900 Larkin Rd
Live Oak, CA 95953-2442
Mailing address
9900 Larkin Rd
Live Oak, CA 95953-2442
Phone (530) 695-1884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61170 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanabe Family Dentistry | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Gridley, CA
- NPI 1679197073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1578836706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 LARKIN RD",
"city": "LIVE OAK",
"state": "CA",
"postal_code": "959532442",
"telephone_number": "530-695-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 LARKIN RD",
"city": "LIVE OAK",
"state": "CA",
"postal_code": "959532442",
"telephone_number": "530-695-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANABE",
"first_name": "RENEE",
"middle_name": "KAMEKO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-19",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.