Redwood Family Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REDWOOD FAMILY DENTAL CARE

Practice address

1867 Redwood Ave
Suite 14
Grants Pass, OR 97527-6408

Phone

(541) 474-2775

Fax

(541) 474-5005

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Milo Tanner, D.M.D.

Title

Dentist

Phone

(360) 989-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1992010219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 REDWOOD AVE",
            "address_2": "SUITE 14",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975276408",
            "telephone_number": "541-474-2775",
            "fax_number": "541-474-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 REDWOOD AVE",
            "address_2": "SUITE 14",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975276408",
            "telephone_number": "541-474-2775",
            "fax_number": "541-474-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "MILO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-989-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Health Corporation
• Tina Anne Reaves
• Sherri L. Red, LMT
• Gregory J. Redfern, P.T.
• Shannon Redline
• Bridgette Reed
• Jermel Reed, QMHP
• Kolby Austin Reed, PT, DPT
• Kelsey Reeser, D.C.
• Thomas Reichert

• Dentist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.