Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1336366616
S. T. Tani, A Dental Corporation
Organization Subpart: NO
Active
NPI Number1336366616
NPI TypeNPI-2 Organization
SpecialtyDentist, General Practice
Provider Details
NPI1336366616
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-04-19
Last Updated2020-08-22
Authorized OfficialStuart Tani
President
Phone: 6192937164
Mailing Address5638 Mission Center Rd, #104
San Diego, CA 92108-4348
United States
Phone: (619) 293-7164
📍 View Map
Primary Practice Address5638 Mission Center Rd, #104
San Diego, CA 92108-4348
United States
Phone: (619) 293-7164
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeCA32622
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About NPI 1336366616

S. T. Tani, A Dental Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1336366616. The primary specialty listed is Dentist, General Practice. The organization is located in San Diego, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-04-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336366616?

NPI 1336366616 belongs to S. T. Tani, A Dental Corporation, a Dentist, General Practice in San Diego, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336366616 active?

The current status of NPI 1336366616 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1336366616?

NPI 1336366616 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336366616?

You can verify NPI 1336366616 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336366616?

The primary practice address on file for NPI 1336366616 is 5638 Mission Center Rd, San Diego, CA 92108-4348. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336366616 issued?

NPI 1336366616 was first issued (enumerated) on 2007-04-19. The NPPES record was last updated on 2020-08-22.

Practice Location Map

S. T. Tani, A Dental Corporation is located at 5638 Mission Center Rd, San Diego, CA. Use the map below to find directions or verify the practice location.

📍 5638 Mission Center Rd, San Diego, CA 92108-4348  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as S. T. Tani, A Dental Corporation. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336366616. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice32622CA
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162