Tamie Ego, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

38274 Issued in CA

Practice address

373 E Warner Ave
Ste 101
Fresno, CA 93710-3741

Phone

(559) 437-0553

Fax

(559) 437-0563

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 16, 2024 through Oct 16, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Shiro Ego, DDS, Inc.

  • Dentist
  • Fresno, CA
  • NPI 1841405735
  NPD (past) Authorized official

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912307133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297104",
            "telephone_number": "559-437-0553",
            "fax_number": "559-437-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E WARNER AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103741",
            "telephone_number": "559-437-0553",
            "fax_number": "559-437-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGO",
        "first_name": "TAMIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelechi Michelle Egbuziem, COTA
• Walter Eugene Egerton III, M.D.
• Cecilia Eggers
• Lindsey Leanne Eggers
• Haily Colette Eggert
• Elizabeth O. Ehigiator
• Kayla Ehrlich
• Ehsan Diab Dental Company Inc.
• Seth Eidemiller, MD
• Richard Eidenschink, L.M.F.T.

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.