Individual provider Active NPI

Anita Chih-I Tao, D.D.S.

  • Dentist
  • Whittier, CA
National Provider Identifier
1104015478
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53654 Issued in CA
Practice address
16336 Whittier Blvd Ste 101
Whittier, CA 90603-2900
Phone
(626) 968-8572
Fax
(626) 330-4617
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53654 CA Primary

Addresses

Primary practice location

16336 Whittier Blvd Ste 101
Whittier, CA 90603-2900

Mailing address

16336 Whittier Blvd Ste 101
Whittier, CA 90603-2900
Phone (626) 968-8572

Other names 1

  • Anita Chih-I Tao-Huang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009667 CA Order and Referring Only - DentistPractitioner - Dentist 8527371202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53654CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1104015478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16336 WHITTIER BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032900",
            "telephone_number": "626-968-8572",
            "fax_number": "626-330-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16336 WHITTIER BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032900",
            "telephone_number": "626-968-8572",
            "fax_number": "626-330-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "ANITA",
        "middle_name": "CHIH-I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "TAO-HUANG",
            "middle_name": "CHIH-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.