Tara Anne Valiquette, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0610 Issued in NC

Practice address

1851 Wellness Blvd
Monroe, NC 28110-7774

Phone

(704) 291-7333

Fax

(704) 292-1203

NPI assigned

Jun 27, 2007

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 names 1

• Tara Anne Pimblett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Patty,Lybrand & Ricciutti DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
  • NPI 1861534950
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1295931020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SHERRINGHAM WAY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736854",
            "telephone_number": "919-360-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107774",
            "telephone_number": "704-291-7333",
            "fax_number": "704-292-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIQUETTE",
        "first_name": "TARA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "0610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PIMBLETT",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uyioghosa Francis Uwensuyi-Edosomwan
• Patrick Robert Vaca, MA
• Juliya Vaghani, D.D.S.
• Hector Valadez
• Kathryn Mary Valerio, PHARMD
• Ashlan Sabine Van Cleeff, MD
• Lena Van Nimwegen, M.D.
• Daniel Jacob Vapne
• Cyril Gerbett Varlack, PA
• Anne Elizabeth Velasco, LCSW, LCAS

• Oral and Maxillofacial Surgery (Dentist) in Monroe, NC
• Providers in Monroe, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.