Active NPI
Peter B B Tafesh, DDS
- Dentist
- Brea, CA
National Provider Identifier
1205406949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106296
- Practice address
- 715 E Birch St Ste a
Brea, CA 92821-5704 - Phone
- (714) 332-1006
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 106296 | CA | Primary |
Addresses
Primary practice location
715 E Birch St Ste a
Brea, CA 92821-5704
Mailing address
715 E Birch St Ste a
Brea, CA 92821-5704
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 |
|---|---|---|---|
| 106296 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox Dental Corporation | Dentist | Current | Accepting new patients |
| Cox Dental Corporation | Past | Accepting new patients |
Locations
715 E Birch St
Ste A
Brea, CA 92821
Phone (714) 332-1006
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba gentle Dental Carlsbad
- General Practice Dentistry
- Carlsbad, CA
- NPI 1619184298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1205406949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 E BIRCH ST STE A",
"city": "BREA",
"state": "CA",
"postal_code": "928215704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E BIRCH ST STE A",
"city": "BREA",
"state": "CA",
"postal_code": "928215704",
"telephone_number": "714-332-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFESH",
"first_name": "PETER",
"middle_name": "B B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.