Active NPI
Joelle A Tavitian, DDS
- Endodontics
- Irvine, CA
National Provider Identifier
1205028859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 46335
- Practice address
- 165 Lockford
Irvine, CA 92602-0952 - Phone
- (949) 285-4749
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 46335 | CA | Primary |
Addresses
Primary practice location
165 Lockford
Irvine, CA 92602-0952
Mailing address
165 Lockford
Irvine, CA 92602-0952
Phone (949) 285-4749
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 |
|---|---|---|---|
| 46335 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1205028859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 LOCKFORD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926020952",
"telephone_number": "949-285-4749",
"fax_number": "714-389-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 LOCKFORD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926020952",
"telephone_number": "949-285-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVITIAN",
"first_name": "JOELLE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "46335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.