Ausyeh Angela Tavakkoli, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24041 Issued in TX

Practice address

6206 Antoine Dr
Houston, TX 77091-2615

Phone

(713) 263-8900

NPI assigned

Jun 23, 2008

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Angela Dental Center, P.L.L.C

  • General Practice Dentistry
  • Houston, TX
  • NPI 1952661308
  NPD (past) Authorized official
• NBNL Dental PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1871107714
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1316108350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 SAND MYRTLE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059",
            "telephone_number": "832-877-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912615",
            "telephone_number": "713-263-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKKOLI",
        "first_name": "AUSYEH",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Taubenfeld, MD
• Teresa Lynn Tauriello
• Tauromenium, LLC
• Abby Elizabeth Tausend, MD
• Shahin Tavackoli, M.D.
• Tavakoli Psychological Services PLLC
• Shahriar Tavakoli Tabasi, M.D.
• Sason Tavakoli-Sabour, D.O.
• Azardokht Tavakoli
• Niloofar Tavakoli, PHD

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.