Individual provider Active NPI

Yvette Elizabeth Tataje, D.D.S.

  • Dentist
  • Loveland, CO
National Provider Identifier
1215166137
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10122 Issued in CO
Practice address
1685 Rocky Mountain Ave
Suite 400
Loveland, CO 80538-8705
Phone
(970) 667-2121
Fax
(970) 667-2323
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6915 KS
General Practice Dentistry 1223G0001X 015632 MO
Dentist 122300000X 10122 CO Primary

Addresses

Primary practice location

1685 Rocky Mountain Ave
Suite 400
Loveland, CO 80538-8705

Mailing address

1685 Rocky Mountain Ave
Suite 400
Loveland, CO 80538-8705
Phone (970) 667-2121

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

LicenseStateTypeSpecialty
10122COMDDentist
6915KSMDGeneral Practice Dentistry
015632MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth / Centerra P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1215166137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 ROCKY MOUNTAIN AVE",
            "address_2": "SUITE 400",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388705",
            "telephone_number": "970-667-2121",
            "fax_number": "970-667-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 ROCKY MOUNTAIN AVE",
            "address_2": "SUITE 400",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388705",
            "telephone_number": "970-667-2121",
            "fax_number": "970-667-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAJE",
        "first_name": "YVETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6915",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015632",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.