Individual provider Active NPI

Taylor Nakashima, DDS

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1073166070
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104079 Issued in CA
Practice address
1300 Oliver Rd
Fairfield, CA 94534-3413
Phone
(707) 426-1790
NPI assigned
Jul 18, 2019
Last updated
Nov 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104079 CA Primary

Addresses

Primary practice location

1300 Oliver Rd
Fairfield, CA 94534-3413

Mailing address

1300 Oliver Rd Ste 130
Fairfield, CA 94534-3474
Phone (408) 605-0017

Other practice location 1

3257 Browns Valley Rd
Napa, CA 94558-5424
Phone (707) 257-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104079CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Narain Paryani DDS Dental Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1073166070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OLIVER RD STE 130",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343474",
            "telephone_number": "408-605-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343413",
            "telephone_number": "707-426-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3257 Browns Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945585424",
            "country_code": "US",
            "telephone_number": "707-257-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKASHIMA",
        "first_name": "TAYLOR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.