Stella Ei Be Tan, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0498641 Issued in NY

Practice address

3808 Bell Blvd
Suite 7
Bayside, NY 11361-2080

Phone

(718) 281-2808

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Tan Dental Practice PLLC

  • Pediatric Dentistry
  • Forest Hills, NY
  • NPI 1124280664
  NPD (past) Authorized official
• Suet Wu DDS PC

  • Pediatric Dentistry
  • Bayside, NY
  • NPI 1285922385
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1871755462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 CLYDE ST",
            "address_2": "APT 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755038",
            "telephone_number": "718-268-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 BELL BLVD",
            "address_2": "SUITE 7",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612080",
            "telephone_number": "718-281-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "STELLA",
        "middle_name": "EI BE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0498641",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02221700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Taj
• Maria Laura Tajes, CCC-SLP
• Won Hee Tak, DDS
• Phoebe C. Tam, PA
• Riza Tan
• Xiaofang Tan, RDN, CDN
• Jessica N Tasca, PH.D.
• Melissa Tavarez, B.A.
• Stacy Taveras
• Carol Linda Tenti, R.N.

• Pediatric Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.