Organization Active NPI

Dean Tan D.D.S., Inc

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1760857536
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40026 Issued in CA
Legal business name
DEAN TAN D.D.S., INC
Practice address
14785 Jeffrey Rd Ste 103
Irvine, CA 92618-0409
Phone
(949) 857-5588
Fax
(949) 857-0024
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dean TanNPI 1841346889
Title
Owner
Phone
(949) 857-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40026 CA Primary

Addresses

Primary practice location

14785 Jeffrey Rd Ste 103
Irvine, CA 92618-0409

Mailing address

14785 Jeffrey Rd Ste 103
Irvine, CA 92618-0409
Phone (949) 857-5588

National Provider Directory

National Provider Directory

Locations

14785 Jeffrey Rd
Ste 103
Irvine, CA 92618
Phone (949) 857-5588

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1760857536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180409",
            "telephone_number": "949-857-5588",
            "fax_number": "949-857-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180409",
            "telephone_number": "949-857-5588",
            "fax_number": "949-857-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN TAN D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-857-5588"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.