Organization Active NPI

Curtis K Tanabe DDS LTD

  • Dentist
  • Grand Forks, ND
National Provider Identifier
1790888295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1557 Issued in ND
Legal business name
CURTIS K TANABE DDS LTD
Practice address
1197 A South Columbia Rd
Grand Forks, ND 58201-4033
Phone
(701) 775-4751
Fax
(701) 746-4931
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anne M Zimmer
Title
Business Admin
Phone
(701) 775-4751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1557 ND Primary

Addresses

Primary practice location

1197 A South Columbia Rd
Grand Forks, ND 58201-4033

Mailing address

1197 A South Columbia Rd
Grand Forks, ND 58201-4033
Phone (701) 775-4751

National Provider Directory

National Provider Directory

Locations

1197 S Columbia Rd
#A
Grand Forks, ND 58201
Phone (701) 775-4751

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790888295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 A SOUTH COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014033",
            "telephone_number": "701-775-4751",
            "fax_number": "701-746-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 A SOUTH COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014033",
            "telephone_number": "701-775-4751",
            "fax_number": "701-746-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS K TANABE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS ADMIN",
        "authorized_official_telephone_number": "701-775-4751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.