JENNIFER TANAKA (NPI# 1952761702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952761702 |
| Entity Type | Individual |
| Full Name | JENNIFER TANAKA |
| Credential | D.D.S. |
| Practice Address |
18th Medical Group, Unit 5142 Apo AP 96368-5142 |
| Mailing Address |
Psc 80 Box 21336 Apo AP 96367-0098 |
| Practice Telephone | 0989604817 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9426580-9921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922367408 | Jennifer M Tanaka | Counselor | 1808 Se Belmont St, Portland, OR 97214-2727 | 2012-05-03 |
| 1013190032 | Jennifer S Tanaka | Physical Therapist | 8031 Yorkshire Cir, La Palma, CA 90623-2026 | 2007-12-12 |
| 1568733715 | Jennifer Fumie Tanaka | Counselor | 222 W Valerio St, Santa Barbara, CA 93101-2930 | 2012-01-19 |
| Street Address |
18TH MEDICAL GROUP, UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972784494 | Laura Marie Boylan | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2007-11-27 |
| 1225483621 | Ryan Mark | Family Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2016-05-04 |
| 1124400478 | Lincoln Andreasen | Family Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2015-06-23 |
| 1932580388 | Teresa Lynn Micotto | Preventive Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2015-06-11 |
| 1174928865 | Jafet A Ojeda Rodriguez | Preventive Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2014-10-24 |
| 1245639418 | Ivette Josefina Russo | Psychologist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2014-08-13 |
| 1487074274 | Jenny Wylie | Nurse Practitioner | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2014-04-21 |
| 1497187330 | Shannon Napua Hickman Roman | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368-9998 | 2013-08-02 |
| 1215376207 | Yalonda Pone | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2013-06-23 |
| 1598008534 | Adam N Young | Internal Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2013-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
| Find all providers in zip 96368 | ||||
| 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 |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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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.