Active NPI
Talifa J Talifa Jr., BDS
- Public Health Dentistry
- Pago Pago, AS
National Provider Identifier
1124426333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 2070 - A
- Practice address
- 3965 Tafuna Petesa Road
Pago Pago, AS 96799-3965 - Phone
- (684) 699-6380
- Fax
- (684) 699-6374
- NPI assigned
- Dec 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 2070 - A | AS | Primary |
Addresses
Primary practice location
3965 Tafuna Petesa Road
Pago Pago, AS 96799-3965
Mailing address
PO Box 5666
Pago Pago, AS 96799-5666
Phone (168) 469-9638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2070 - A | AS | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1124426333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5666",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967995666",
"telephone_number": "168-469-9638",
"fax_number": "168-469-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 TAFUNA PETESA ROAD",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967993965",
"telephone_number": "684-699-6380",
"fax_number": "684-699-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIFA",
"first_name": "TALIFA",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "AS",
"license": "2070 - A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pago Pago, AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.