Organization Active NPI

Daniel Ta DDS Inc

  • Dentist
  • Martinez, CA
National Provider Identifier
1215799051
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DANIEL TA DDS INC
Practice address
4111 Alhambra Ave
Martinez, CA 94553-3823
Phone
(925) 888-4330
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. Daniel Ta, DDS
Title
President
Phone
(949) 735-9756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4111 Alhambra Ave
Martinez, CA 94553-3823

Mailing address

5261 Sussex PL
Newark, CA 94560-1953
Phone (949) 735-9756

National Provider Directory

National Provider Directory

Locations

4111 Alhambra Ave
Martinez, CA 94553
Phone (925) 888-4330

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1215799051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 SUSSEX PL",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601953",
            "telephone_number": "949-735-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533823",
            "telephone_number": "925-888-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL TA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-735-9756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

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

Verify at the official NPI Registry.