Tadesse Tesfamichael, DDS, a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TADESSE TESFAMICHAEL, DDS, A PROFESSIONAL CORPORATION

Practice address

6580 Hembree LN Ste 255
Windsor, CA 95492-6885

Phone

(707) 836-1202

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Tad Tesfamichael, DDS

Title

Practice Owner

Phone

(707) 836-1202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1679076822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 HEMBREE LN STE 255",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954926885",
            "telephone_number": "707-836-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 HEMBREE LN STE 255",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954926885",
            "telephone_number": "707-836-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADESSE TESFAMICHAEL, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "TESFAMICHAEL",
        "authorized_official_first_name": "TAD",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "707-836-1202",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Stone
• Elizabeth Jane Storm, MFT
• Shannon Renee Strasser, R.D.
• Meleah Sullivan, PH.D, PPS
• Sutter Medical Group of the Redwoods
• Marlene Janet Tamayo-Tran, LMFT
• Melissa Tan, LMFT
• Melanie M Taylor
• Jennifer Terrell
• Cynthia R Thomas, M.S. CCC-SLP

• Dentist in Windsor, CA
• Providers in Windsor, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.