Kamal Behram Taraporewalla, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DL036438 Issued in CA

Practice address

241 S Glendora Ave
Glendora, CA 91741-3419

Phone

(626) 852-3750

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1205097151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413419",
            "telephone_number": "626-852-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413419",
            "telephone_number": "626-852-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAPOREWALLA",
        "first_name": "KAMAL",
        "middle_name": "BEHRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DL036438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poh San Tan, PHARMD
• Teresa Tan
• Li Chiao Lawrence Tao
• Azucena Dy Taon, D.D.S.
• Aimee Taraporewalla, D.D.S.
• Volney Tavarez, MA
• Dawn Taylor, PPS, LEP
• Katherine Ann Teeter
• Ann Aiko Terai Escamillo, M.D.
• Bao Khanh Minh Thai, DO

• Pediatric Dentistry in Glendora, CA
• Providers in Glendora, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.