MAMORU TANAKA (NPI# 1265717391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265717391 |
Entity Type | Individual |
Full Name | MAMORU TANAKA |
Credential | D.D.S, FACP |
Practice Address |
6541 Shady Brook Ln Apt 2210 Dallas TX 75206-9123 |
Practice Telephone | 6174599491 |
Mailing Telephone | 6174599491 |
Enumeration Date | 2011-10-20 |
Last Update Date | 2016-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
31503 | TX | Dental Providers |
Street Address |
6541 SHADY BROOK LN APT 2210 |
City | DALLAS |
State | TX |
Zip Code | 75206-9123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316596919 | Dallas Anesthesia Group, Pllc | Anesthesiology | 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 | 2019-09-06 |
1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
1851830434 | Amanda Rash | Physical Therapy Assistant | 5855 Milton Road, Dallas, TX 75206 | 2017-02-16 |
1649727272 | Insights Psychotherapy Group, Pllc | Counselor | 5255 Vickery Boulevard, Dallas, TX 75206 | 2016-09-01 |
1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
1225413776 | Chelsea Young | Speech-Language Pathologist | 8820 Southwestern Blvd #605, Dallas, TX 75206 | 2015-07-27 |
1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
1417386442 | Inspire Pediatric Therapy | Speech-Language Pathologist | 5646 Milton, #307, Dallas, TX 75206 | 2013-11-12 |
Find all providers in zip 75206 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
1841795598 | Andreina Cordido Enriquez | Dentist | 3302 Gaston Ave Rm 169, Dallas, TX 75246-2013 | 2018-03-26 |
1972021145 | Catherine G Cagino | Dentist | 5018 Les Chateaux Dr, Dallas, TX 75235-8731 | 2017-09-07 |
1104371038 | Brian Christopher Aguirre | Dentist | 5013 Vickery Blvd, Dallas, TX 75206-6222 | 2016-08-21 |
1659796696 | Kathia Steel Dds Ms PC | Dentist | 8117 Preston Rd Ste 170, Dallas, TX 75225-6320 | 2014-02-27 |
1356576599 | Elite Dental Associates - Dallas, P.C. | Dentist | 2410 Mckinney Ave, Dallas, TX 75201-1937 | 2009-05-18 |
1447497102 | Michelle Newby | Dentist | 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 | 2009-01-15 |
1083870281 | Dimitrios Elias Kontogiorgos | Dentist | 8650 Southwestern Blvd, Apt#3407, Dallas, TX 75206-2611 | 2008-08-06 |
1629290267 | David D Mcfadden | Dentist | 5120 W Lovers Ln, Dallas, TX 75209-3332 | 2007-05-03 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on MAMORU TANAKA.
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.