Organization Active NPI

Nihar D Tanna DDS Ms Incorporated

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chino Hills, CA
National Provider Identifier
1780111922
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
49812 Issued in CA
Legal business name
NIHAR D TANNA DDS MS INCORPORATED
Practice address
2569 Chino Hills Pkwy Unit K
Chino Hills, CA 91709-5120
Phone
(909) 464-9348
Fax
(909) 464-9239
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Dr. Nihar D Tanna, DDS.,MS.NPI 1841291176
Title
President
Phone
(909) 464-9348

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 49812 CA Primary

Addresses

Primary practice location

2569 Chino Hills Pkwy Unit K
Chino Hills, CA 91709-5120

Mailing address

27035 Big Horn Mountain Way
Yorba Linda, CA 92887-4211
Phone (909) 753-8215

Other practice location 1

14232 Schleisman Rd Ste 220
Eastvale, CA 92880-4021
Phone (909) 464-9348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212000537 CA DME Supplier - Oral Surgery - Dentist 8729348834 Practice locations: Chino Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Nihar D Tanna DDS Ms Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2569 Chino Hills Pkwy
Unit K
Chino Hills, CA 91709
Phone (909) 464-9348

2140 Grand Ave
Ste 220
Chino Hills, CA 91709
Phone (909) 464-9348

14232 Schleisman Rd
Ste 220
Eastvale, CA 92880
Phone (909) 270-2799

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": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1780111922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27035 BIG HORN MOUNTAIN WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874211",
            "telephone_number": "909-753-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 CHINO HILLS PKWY UNIT K",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095120",
            "telephone_number": "909-464-9348",
            "fax_number": "909-464-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14232 Schleisman Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928804021",
            "country_code": "US",
            "telephone_number": "909-464-9348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIHAR D TANNA DDS MS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "NIHAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-464-9348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.,MS."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "49812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.