DR. JEFFREY MICHAEL TANNER D.D.S.
NPI 1124265814
Dentist in Santa Monica, CA

Q: What is Jeffrey Tanner's NPI number?

The NPI number for Jeffrey Tanner is 1124265814. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Q: What is Jeffrey Tanner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Tanner was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2009PECOS Enrolled

1531 6TH ST APT 202, SANTA MONICA, CA 90401(816) 651-5000 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jeffrey Michael Tanner D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY MICHAEL TANNER D.D.S. (NPI 1124265814) is an individual dentist in Santa Monica, California, licensed in California (57780) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124265814

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEFFREY MICHAEL TANNERCredential: D.D.S.

Location Address1531 6TH ST APT 202Santa Monica, CA 90401-2535

Mailing Address1531 6th St Apt 202Santa Monica, CA 90401-2535 · (816) 651-5000

Phone(816) 651-5000

Sole ProprietorYes

Enumeration DateJanuary 16, 2009

✔ NPI 1124265814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 57780

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1531 6TH ST APT 202, Santa Monica, CA 90401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Michael Tanner D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Tanner's NPI number?

The NPI number for Jeffrey Tanner is 1124265814. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Where is Jeffrey Tanner located?

Jeffrey Tanner practices at 1531 6th St Apt 202, Santa Monica, CA 90401. The listed phone number is (816) 651-5000.

What is Jeffrey Tanner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Tanner enrolled in Medicare?

Yes. Jeffrey Tanner is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Tanner accept?

Health plans from Humana list Jeffrey Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Tanner was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.