Tanager Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TANAGER FAMILY DENTISTRY, LLC

Practice address

10203 Tanager LN Ste 101
Columbia, MD 21044-4171

Phone

(443) 896-0002

Fax

(443) 896-0012

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Pyun, DDSNPI 1528417797

Title

Owner, General Dentist

Phone

(443) 896-0002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Lisa Pyun, D.D.S.

  • Dentist
  • Columbia, MD
  • NPI 1528417797
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1902533631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 TANAGER LN STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444171",
            "telephone_number": "443-896-0002",
            "fax_number": "443-896-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 TANAGER LN STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444171",
            "telephone_number": "443-896-0002",
            "fax_number": "443-896-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAGER FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "PYUN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER, GENERAL DENTIST",
        "authorized_official_telephone_number": "443-896-0002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Selena Tamayyupa
• Rejoice Nobuhle Tambo, RN
• Tammy Spengler, LCSW-C, LLC
• Hao Yang Tan, M.D.
• Yi Tan, D.D.S.
• Daniel Tang, M.D.
• Kevin Wayne Tang, PHARMD
• Star Tangyie-Che Niba, NP
• Tashera Tanner
• Kristina Tao, M.D.

• Dental Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.