NPIMap

Individual provider Active NPI

Jaydeep Shashikumar Talim, D.D.S.

  • Endodontics
  • Corona, CA
National Provider Identifier
1235229337
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
46143 Issued in CA
Practice address
770 Magnolia Ave Ste 1J
Corona, CA 92879-3100
Phone
(951) 736-0603
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 46143 CA Primary

Addresses

Primary practice location

770 Magnolia Ave Ste 1J
Corona, CA 92879-3100

Mailing address

55 Turnbury LN
Irvine, CA 92620-0244
Phone (714) 310-8553

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Bhagat & Uppal, a.P.D.C. Endodontics PastSince Jan 17, 2022 Accepting new patients
Talim DDS Inc. Past Accepting new patients
Talim DDS Inc Past Accepting new patients

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1235229337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TURNBURY LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926200244",
            "telephone_number": "714-310-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 1J",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793100",
            "telephone_number": "951-736-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIM",
        "first_name": "JAYDEEP",
        "middle_name": "SHASHIKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "46143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.