Robert E. Tanner, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006439 Issued in WA

Legal business name

ROBERT E. TANNER, DDS, PLLC

Practice address

22516 SE 64TH PL
Ste. #120
Issaquah, WA 98027-5379

Phone

(425) 392-8882

Fax

(425) 392-9101

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Tanner, DDSNPI 1255773305

Title

Dentist

Phone

(425) 392-8882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robert E Tanner, D.D.S.

  • Dentist
  • Issaquah, WA
  • NPI 1255773305
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871648519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22516 SE 64TH PL",
            "address_2": "STE. #120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275379",
            "telephone_number": "425-392-8882",
            "fax_number": "425-392-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22516 SE 64TH PL",
            "address_2": "STE. #120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275379",
            "telephone_number": "425-392-8882",
            "fax_number": "425-392-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. TANNER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-392-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017793",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Ripley, AUD
• Dean Riskedahl, OD
• Rosaly Virginia Rivero Gonzalez, MEDICAL INTERPRETER
• Kimberly Michelle Rixon, MSW
• Monica Robbins, LMHC
• Gregory James Robertson, N.D.
• Margaret Robertson, D.C.
• Emily Robinson
• Nicole Robinson, ARNP, CPNP, DNP
• Lauren Rocha, DNP, CPNP-PC

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• 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.