Diana Tabakh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016135 Issued in MO

Practice address

12927 State Line Rd
Kansas City, MO 64145-1238

Phone

(816) 942-7669

Fax

(816) 942-7808

NPI assigned

Feb 18, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comfort Dental Care, LLC

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1700920121
  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063556488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238",
            "telephone_number": "816-942-7669",
            "fax_number": "816-942-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238",
            "telephone_number": "816-942-7669",
            "fax_number": "816-942-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAKH",
        "first_name": "DIANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "016135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan S Szeto, MD
• Ronald Anthony Szymankowski, PHD
• T&S Transportation Services
• Kyle Ta, MD
• Maithy Bui Ta, DC
• Monir Tabbosha, MD
• Allison Elizabeth Taber, M.D.
• Elvira Constantino Tabije, CRNFA
• Eugenio Miguel Taboada-Arana, M.D.
• Marie Ann B Taboada, FNP-C

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.