E M Tash DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47422 Issued in CA

Legal business name

E M TASH DDS PC

Doing business as

La Puente Dental Group

Practice address

864 N Hacienda Blvd
La Puente, CA 91744-2847

Phone

(626) 333-8166

Fax

(626) 333-9879

NPI assigned

Apr 28, 2017

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Dr. Edmond Tash, DDS

Title

President

Phone

(626) 333-8166

Specialties & licenses 2

Addresses

Other names 1

• La Puente Dental Group Doing business as

Part of

E M Tash DDS PC

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1275068025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442847",
            "telephone_number": "626-333-8166",
            "fax_number": "626-333-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442847",
            "telephone_number": "626-333-8166",
            "fax_number": "626-333-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E M TASH DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2017-04-28",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "TASH",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-333-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47422",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "47422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Puente Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.