Geraldine Tanada-Lee Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GERALDINE TANADA-LEE DENTAL CORP.

Practice address

3409 Calloway Dr
Suite 501-B
Bakersfield, CA 93312-2517

Phone

(661) 456-9704

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Geraldine Tanada

Title

Owner

Phone

(661) 456-9704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1629258637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR",
            "address_2": "SUITE 501-B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122517",
            "telephone_number": "661-456-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR",
            "address_2": "SUITE 501-B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122517",
            "telephone_number": "661-456-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINE TANADA-LEE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "TANADA",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-456-9704"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, 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 Nov 7, 2007; 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.