Theodore a Tanabe DDS a Professional Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

39716 Issued in CA

Legal business name

THEODORE A TANABE DDS A PROFESSIONAL CORPORATION

Practice address

13203 Hadley Street
Suite 101
Whittier, CA 90601

Phone

(562) 698-0387

Fax

(562) 696-7677

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Theodore A Tanabe, DDSNPI 1982625372

Title

President

Phone

(562) 698-0387

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore A Tanabe, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Whittier, CA
  • NPI 1982625372
  NPD Authorized official
• Andrew Choi, DMD

  • Dentist
  • Yorba Linda, CA
  • NPI 1184268112
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1730489014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 HADLEY STREET",
            "address_2": "SUITE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90601",
            "telephone_number": "562-698-0387",
            "fax_number": "562-896-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 HADLEY STREET",
            "address_2": "SUITE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90601",
            "telephone_number": "562-698-0387",
            "fax_number": "562-696-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE A TANABE DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "TANABE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-698-0387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "39716",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "39716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Thomas, MD
• Sonya Wynette Thomas, MD

• Oral and Maxillofacial Surgery (Dentist) in Whittier, CA
• Providers in Whittier, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.