Individual provider Active NPI

Anita R Ta, DDS

  • Dentist
  • Massillon, OH
National Provider Identifier
1023014404
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-02-0193 Issued in OH
Practice address
2400 Wales Ave NW
Ste B
Massillon, OH 44646-2366
Phone
(330) 833-2619
Fax
(330) 833-6987
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-02-0193 OH Primary

Addresses

Primary practice location

2400 Wales Ave NW
Ste B
Massillon, OH 44646-2366

Mailing address

2400 Wales Ave NW
Ste B
Massillon, OH 44646-2366
Phone (330) 833-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000308 OH Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9638475924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023014404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366",
            "telephone_number": "330-833-2619",
            "fax_number": "330-833-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366",
            "telephone_number": "330-833-2619",
            "fax_number": "330-833-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "ANITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-02-0193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.