Enrique Tabarini, DDS, MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

23794 Issued in TX

Practice address

3117 College Park Dr Ste 150
The Woodlands, TX 77384-4192

Phone

(713) 436-0148

Fax

(713) 436-0892

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 28, 2021 through Jan 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Obsidian Management Group LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • The Woodlands, TX
  • NPI 1477216620
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1003076076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844192",
            "telephone_number": "936-231-8568",
            "fax_number": "936-447-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844192",
            "telephone_number": "713-436-0148",
            "fax_number": "713-436-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARINI",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweeny Hospital District
• Terrance Seymour Swonke, D. D. S.
• Sylvia Culver DDS PC
• Thomas R. Synek, MD
• Synergence Health
• Kristi P Tabor
• Natalie Maria Tabor
• Sanaz Tafazoli
• Tag Healthcare Management, PA
• Christopher Tagliaferro

• Oral and Maxillofacial Surgery (Dentist) in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.