MRS. TINA S. TAN (NPI# 1134523103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134523103 |
| Entity Type | Individual |
| Full Name | MRS. TINA S. TAN |
| Credential | DM.D |
| Practice Address |
214 S Emerson St Mt Prospect IL 60056-3247 |
| Practice Telephone | 8475777500 |
| Mailing Telephone | 8475777500 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-020060 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584808 | Tina Michelle Tan | Speech-Language Pathologist | 4618 5th Ave, Brooklyn, NY 11220-1208 | 2012-02-25 |
| 1407815277 | Tina Quanbee Tan | Pediatrics | 225 East Chicago Ave Box #20, Chicago, IL 60611-2605 | 2006-03-21 |
| 1992310353 | Tina Ying Hua Tan | Pharmacist | 406 N Main St, Sebastopol, CA 95472-3405 | 2020-09-12 |
| 1477856904 | Tina Tan | Pharmacist | 2120 Polk St, San Francisco, CA 94109-2507 | 2010-12-05 |
| 1629113675 | Tina O Tan | Obstetrics & Gynecology | 751 S Bascom Ave, Ob Gyn, San Jose, CA 95128-2604 | 2007-02-20 |
| Street Address |
214 S EMERSON ST |
| City | MT PROSPECT |
| State | IL |
| Zip Code | 60056-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015869 | Shahvar Azal Hussain | Dentist | 920 N Elmhurst Rd, Mt Prospect, IL 60056-1126 | 2020-05-26 |
| 1356566152 | Walter G Zattera | Dentist | 2352 S Elmhurst Rd, Mt Prospect, IL 60056-5805 | 2007-04-16 |
| 1790824167 | Timothy Joseph Brouder | Dentist | 207 S Emerson St, Mt Prospect, IL 60056-3259 | 2007-02-05 |
| 1720126303 | Kana Yajima | Dentist | 200 W Northwest Hwy Ste 100, Mt Prospect, IL 60056-3142 | 2007-02-03 |
| 1770654253 | Bianca Malin | Dentist | 322 N Wolf Rd, Mt Prospect, IL 60056-2735 | 2006-11-13 |
| 1093339723 | Fatjona Aliaj | Dentist | 1753 W Algonquin Rd, Mt Prospect, IL 60056-5401 | 2020-05-28 |
| 1316461569 | Valerie Sefton | Dentist | 1740 W Algonquin Rd, Mt Prospect, IL 60056-5469 | 2017-07-31 |
| 1912354531 | Dba Simply Teeth | Dentist | 905 E Rand Rd, Suite 200, Mt Prospect, IL 60056-2570 | 2016-05-24 |
| 1922376011 | Mt Prospect Smiles P.C. | Dentist | 724 E Northwest Hwy, Mt Prospect, IL 60056-3442 | 2011-12-05 |
| 1346570421 | Betty Aivazian, D.d.s., Ltd. | Dentist | 1128 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2010-01-12 |
| Find all providers in MT PROSPECT | ||||
| City | MT PROSPECT |
| Zip Code | 60056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.