Organization Active NPI

Debbie C. Tan, DDS, Inc.

  • General Practice Dentistry
  • Hemet, CA
National Provider Identifier
1881967644
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55034 Issued in CA
Legal business name
DEBBIE C. TAN, DDS, INC.
Practice address
475 W Stetson Ave
Suite #L
Hemet, CA 92543-7070
Phone
(951) 925-4002
Fax
(951) 925-4532
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Debbie C Tan, DDSNPI 1154499473
Title
President
Phone
(951) 925-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55034 CA Primary

Addresses

Primary practice location

475 W Stetson Ave
Suite #L
Hemet, CA 92543-7070

Mailing address

475 W Stetson Ave
Suite #L
Hemet, CA 92543-7070
Phone (951) 925-4002

National Provider Directory

National Provider Directory

Locations

475 W Stetson Ave
Ste L
Hemet, CA 92543
Phone (951) 925-4002

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1881967644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W STETSON AVE",
            "address_2": "SUITE #L",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437070",
            "telephone_number": "951-925-4002",
            "fax_number": "951-925-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W STETSON AVE",
            "address_2": "SUITE #L",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437070",
            "telephone_number": "951-925-4002",
            "fax_number": "951-925-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE C. TAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-925-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.