Active NPI
Midori Betty Tachibana, D.D.S.
- Endodontics
- Oakland, CA
National Provider Identifier
1902067747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS 54987
- Practice address
- 1624 Franklin St
Suite 1220
Oakland, CA 94612-2897 - Phone
- (510) 893-4041
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DDS 54987 | CA | Primary |
Addresses
Primary practice location
1624 Franklin St
Suite 1220
Oakland, CA 94612-2897
Mailing address
1624 Franklin St
Suite 1220
Oakland, CA 94612-2897
Phone (510) 893-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS 54987 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391817600000",
"number": "1902067747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 FRANKLIN ST",
"address_2": "SUITE 1220",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122897",
"telephone_number": "510-893-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 FRANKLIN ST",
"address_2": "SUITE 1220",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122897",
"telephone_number": "510-893-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACHIBANA",
"first_name": "MIDORI",
"middle_name": "BETTY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2014-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS 54987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.