James R Tagoni, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN22298 Issued in FL

Practice address

835 3Rd Ave SE
Cedar Rapids, IA 52403-2407

Phone

(319) 366-8277

Fax

(319) 366-7091

NPI assigned

Jun 22, 2010

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.tagoni.1@30093.direct.athenahealth.com
• Direct secure messaging: jtagoni795211@direct.unitypoint.org

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.

• James Tagoni DMD MD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
  • NPI 1114416112
  NPD Authorized official
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Eastern Iowa Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Cedar Rapids, IA
  • NPI 1992962732
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1073834248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TOWER TERRACE RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523028975",
            "telephone_number": "319-366-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032407",
            "telephone_number": "319-366-8277",
            "fax_number": "319-366-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Bluff Oak Way Apt 5303",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323116131",
            "country_code": "US",
            "telephone_number": "805-252-8928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGONI",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN22298",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A141168",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "DL-10923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DDS-09834",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Marie Swope, LPN
• Jan Margaret Syata, PAC
• Stephenie C Szumny
• Jennifer Lynn Szymanowski, ARNP, FNP-C
• Marcia Taeger, PT
• Tailored Living
• Michelle M. Takes, LMHC
• Breanna Marie Garcia Talbert, AGNP
• Tallgrass ABA Therapy LLC
• Benjamin Ashley Tallman, PHD

• Oral and Maxillofacial Surgery (Dentist) in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.