Organization Active NPI

Emil Tanase DDS PC

  • Dental Clinic/Center
  • Lodi, CA
National Provider Identifier
1962225425
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EMIL TANASE DDS PC
Practice address
525 S Fairmont Ave Ste H
Lodi, CA 95240-3860
Phone
(209) 369-2696
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Emil Tanase, DDSNPI 1639423213
Title
Ceo/Owner
Phone
(209) 369-2696

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 Primary

Addresses

Primary practice location

525 S Fairmont Ave Ste H
Lodi, CA 95240-3860

Mailing address

525 S Fairmont Ave Ste H
Lodi, CA 95240-3860
Phone (209) 369-2696

Other practice location 1

525 S Fairmont Ave Ste H
Lodi, CA 95240-3860
Phone (209) 369-2696

National Provider Directory

National Provider Directory

Locations

525 S Fairmont Ave
Ste H
Lodi, CA 95240
Phone (209) 369-2696

Practitioners & affiliated clinicians

Practitioners 2

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1962225425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S FAIRMONT AVE STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403860",
            "telephone_number": "209-369-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S FAIRMONT AVE STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403860",
            "telephone_number": "209-369-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 S Fairmont Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952403860",
            "country_code": "US",
            "telephone_number": "209-369-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMIL TANASE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "TANASE",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "209-369-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.