{"npi":"1730489014","type":"NPI-2","status":"active","name":{"display":"Theodore A Tanabe DDS A Professional Corporation","other":[],"organization_name":"THEODORE A TANABE DDS A PROFESSIONAL CORPORATION","authorised_official":"Theodore Tanabe"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"261QS0112X","description":"Oral and Maxillofacial Surgery Clinic/Center","primary":false,"state":"CA","license":"39716"},{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"CA","license":"39716"}]},"addresses":[{"purpose":"LOCATION","street_1":"13203 HADLEY STREET","city":"WHITTIER","state":"CA","postal_code":"90601","country_code":"US","street_2":"SUITE 101","phone":"5626980387","fax":"5626967677"},{"purpose":"MAILING","street_1":"13203 HADLEY STREET","city":"WHITTIER","state":"CA","postal_code":"90601","country_code":"US","street_2":"SUITE 101","phone":"5626980387","fax":"5628967677"}],"license":{"state":"CA","number":"39716"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20101105000139","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"1759575509"}]},"enumeration_date":"2010-11-02","last_updated":"2017-12-26","_meta":{"source":"NPPES","snapshot_date":"2017-12-26","doc_url":"https://findmynpi.com/api"}}