Tanabe Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TANABE FAMILY DENTISTRY

Practice address

947 Magnolia St
Gridley, CA 95948-3020

Phone

(530) 300-4005

NPI assigned

Jun 1, 2020

Last updated

Jun 1, 2020By 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. Renee Kameko Tanabe, DDSNPI 1578836706

Title

Owner

Phone

(530) 300-4005

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Renee Kameko Tanabe, DDS

  • Dentist
  • Live Oak, CA
  • NPI 1578836706
  NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1679197073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LARKIN RD",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959489748",
            "telephone_number": "530-300-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 MAGNOLIA ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959483020",
            "telephone_number": "530-300-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANABE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "TANABE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "KAMEKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-300-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Stone
• Kirsten Storne-Piazza, LMFT
• Monica Takhar
• Rachel Talley
• Rajinder Pal Kaur Tamber
• Thrifty Payless Inc (Rite Aid Pharmacy 06090)
• Dianna L. Townsend
• Gabrielle Turcotte
• Nikom Udomphonkul, MD
• Valerie Youa Vangthao, AMFT

• Dental Clinic/Center in Gridley, CA
• Providers in Gridley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.