Individual provider Active NPI

Tani Hwynn, D.M.D

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1801006879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44187 Issued in CA
Practice address
14550 Magnolia St
Suite 103
Westminster, CA 92683-5565
Phone
(714) 901-0190
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44187 CA Primary

Addresses

Primary practice location

14550 Magnolia St
Suite 103
Westminster, CA 92683-5565

Mailing address

5726 E Rocking Horse Way
Orange, CA 92869-4320
Phone (714) 901-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212001303 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5395049241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44187CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hwynn Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801006879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 E ROCKING HORSE WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694320",
            "telephone_number": "714-901-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 MAGNOLIA ST",
            "address_2": "SUITE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835565",
            "telephone_number": "714-901-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWYNN",
        "first_name": "TANI",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.