Evelyn Taly Huaman, DMD, Dabp, Apc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EVELYN TALY HUAMAN, DMD, DABP, APC

Practice address

9750 Miramar Rd Ste 380
San Diego, CA 92126-4563

Phone

(619) 516-0018

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Evelyn T Huaman, DMDNPI 1720302375

Title

President

Phone

(424) 208-4329

Specialties & licenses 1

Addresses

Other names 1

• Taly Dental Specialists Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Tarcila Huaman, D.M.D.

  • Periodontics
  • San Diego, CA
  • NPI 1720302375
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1144939752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264563",
            "telephone_number": "619-516-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264563",
            "telephone_number": "619-516-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN TALY HUAMAN, DMD, DABP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "HUAMAN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-208-4329",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.talydental.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "9750 Miramar Rd Ste 380",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921264563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Taly Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Kang Evans
• Valerie Evans, LCSW
• Virginia A Evans, PHD
• Abigail Evanson
• Evelyn and Flickinger, Inc.
• Karl Limewood Evelyn, M.D.
• Ever Rising Marriage and Family Therapy
• Ian P Everall, PHD
• Everest Mobile Physical Therapy Corporation
• Keith H Everett, DPM

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.