Tanner Song, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101933 Issued in CA

Practice address

233 Cajon St Ste 3
Redlands, CA 92373-5239

Phone

(909) 844-0497

NPI assigned

Aug 22, 2017

Last updated

Aug 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1720504699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SUMMIT AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736853",
            "telephone_number": "19098440497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CAJON ST STE 3",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735239",
            "telephone_number": "909-844-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estevan Dario Solarte, M.D.
• Jasmine Sole
• Jason Solomon, M.D.
• Ki Y Song, DDS
• Sunah Song, CRNP
• Aileen Sonza
• Serena Hope Sorajjakool, CF-SLP
• Steven M Sorenson, M.D.
• Leticia Soto, COTA
• Sound Body Retreat

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, 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, 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.

Verify at the official NPI Registry.