Tatyana Tataro, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59966 Issued in CA

Practice address

4625 Sapa CT
San Jose, CA 95136-2688

Phone

(408) 693-4882

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1225339823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SAPA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362688",
            "telephone_number": "408-693-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 SAPA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362688",
            "telephone_number": "408-693-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARO",
        "first_name": "TATYANA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59966",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Deprini Tarleton, LPT
• April Rosetta Tarozzi, BA
• Emily Tashiro
• Narumi Tashiro
• Hoa Tat, OD
• Tony Tataro
• Ashley Melissa Tate de Lara, PSY.D.
• Anjali Tate, MD
• Jelena Mae Lalin Tating
• Jyoti Kaur Tatla, OTR/L

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.