What is Mamoru Tanaka's NPI number?

Mamoru Tanaka's National Provider Identifier (NPI) is 1265717391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mamoru Tanaka's specialty?

Mamoru Tanaka is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).

Where is Mamoru Tanaka located?

Mamoru Tanaka's practice location on file with NPPES is 8008 Frost St # 800, San Diego, CA 92123-4205.

What is Mamoru Tanaka's phone number?

The practice phone number listed in the NPPES registry for Mamoru Tanaka is (617) 459-9491.

Is Mamoru Tanaka's NPI active?

Yes — Mamoru Tanaka's NPI (1265717391) is active in the NPPES registry as of the last update on 2022-11-22.

IndividualActive

Mamoru Tanaka, D.D.S, FACP

NPI 1265717391 · Prosthodontics · San Diego, CA

Mamoru Tanaka, D.D.S, FACP is a Prosthodontics provider in San Diego, CA (NPI 1265717391).

Provider details

NPI number: 1265717391
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: D.D.S, FACP
Sex: Male
Sole proprietor: Yes
License: 101517 (CA)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 101517 (CA)
Dental Providers
Prosthodontics1223P0700XLicense 31503 (TX)
Dental Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8008 Frost St # 800

San Diego, CA 92123-4205

Phone: (617) 459-9491

Street-level locationGet directions

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Mailing address