Tanimura, DDS, MSD and Peng, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TANIMURA, DDS, MSD AND PENG, DDS, INC.

Doing business as

Antioch & Brentwood Pediatric Dentistry

Practice address

2901 Lone Tree Way
Antioch, CA 94509-4963

Phone

(925) 757-4220

Fax

(925) 757-5457

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Leslie K. Tanimura, DDS, MSDNPI 1518944479

Title

Chief Financial Officer

Phone

(925) 757-4220

Specialties & licenses 1

Addresses

Other names 1

• Antioch & Brentwood Pediatric Dentistry Doing business as

Locations

Practitioners 2

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

• Leslie Kyoko Tanimura, DDS MSD

  • Pediatric Dentistry
  • Antioch, CA
  • NPI 1518944479
  NPD (past) Authorized official
• Richard Stephen Sobel, D.D.S.

  • Dentist
  • Antioch, CA
  • NPI 1942286505
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1861477796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 COUNTRY HILLS DRIVE,",
            "address_2": "SUITE 102",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-757-4220",
            "fax_number": "925-757-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094963",
            "telephone_number": "925-757-4220",
            "fax_number": "925-757-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIMURA, DDS, MSD AND PENG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "TANIMURA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "925-757-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch & Brentwood Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jahve D Taito
• Kallen Takeba, PHARM. D.
• Varun Kumar Takyar, MD
• Nora Talebi
• Katherine K. Tan, MD
• Leslie Kyoko Tanimura, DDS MSD
• Nicole Marie Tankersley
• Mikayla Tapia
• Miriam Yanet Tapia
• Contesa L Tate, M.A

• Pediatric Dentistry in Antioch, CA
• Providers in Antioch, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.