Tatyana Vazemiller, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28354 Issued in TX

Practice address

4429 Griggs Rd Ste a
Houston, TX 77021-2852

Phone

(281) 979-7688

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tatyana.vazemiller.1@13131.direct.athenahealth.com

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.

• Sirius Dental PLLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1588337943
  NPD Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1255568648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16535 TOWN LAKE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595546",
            "telephone_number": "281-979-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 GRIGGS RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212852",
            "telephone_number": "281-979-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2536 Amherst St",
            "address_2": "Ste a",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770053207",
            "country_code": "US",
            "telephone_number": "713-490-8880",
            "fax_number": "713-490-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZEMILLER",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255568648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vax21 LLC
• Vaxanation
• Biny M Vayalil, CRNA
• Theresa Vaz, LCDC
• Vikram Joseph Vaz, M.D.
• Negar Vazirinia, M.D.
• Rana Vazirnezami
• Daniela Vazquez Rodriguez, FNP-C
• Alicia Acosta Vazquez, ALIMEX HEALTH CARE
• Amy Vazquez

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

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