Organization Active NPI

Winnie Tan, D.D.S.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1942412085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WINNIE TAN, D.D.S.
Practice address
2621 E 1St St
Los Angeles, CA 90033-3505
Phone
(323) 268-9386
Fax
(323) 268-9524
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Winnie Tan, D.D.S.NPI 1730229832
Title
President
Phone
(323) 268-9386

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2621 E 1St St
Los Angeles, CA 90033-3505

Mailing address

2621 E 1St St
Los Angeles, CA 90033-3505
Phone (323) 268-9386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942412085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333505",
            "telephone_number": "323-268-9386",
            "fax_number": "323-268-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333505",
            "telephone_number": "323-268-9386",
            "fax_number": "323-268-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNIE TAN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-268-9386",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.