Giancarlo Tassara DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GIANCARLO TASSARA DDS INC

Doing business as

Smileline Dental and Orthodontics

Practice address

1111 W Town and Country Rd Ste 46
Orange, CA 92868-4667

Phone

(612) 720-6723

NPI assigned

Mar 8, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Giancarlo Tassara, DDSNPI 1760540942

Title

President

Phone

(612) 720-6723

Specialties & licenses 1

Addresses

Other names 1

• Smileline Dental and Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Giancarlo G Tassara, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange, CA
  • NPI 1760540942
  NPD (past) Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1174081152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667",
            "telephone_number": "612-720-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANCARLO TASSARA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "TASSARA",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-720-6723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smileline Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anuja Ghodekar, DDS
• Maryam Gholizadeh, M.D.
• Gamal M. Ghoniem, M.D.
• Alireza Ghoreifi, MD
• Sarah Marie Giafaglione, M.D.
• Connie Giang
• Jessica Giang, MD
• Kha Tue Giang, AA
• Kayla Rachel Giannatasio, BA
• Savannah Teresa Giannini-Cocio, LCSW

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.