Hafsa Tai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19118 Issued in FL

Practice address

2016 US Highway 92 W
Auburndale, FL 33823-3921

Phone

(863) 662-9973

NPI assigned

Dec 15, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lake Myrtle Center for Advanced Dentistry

  • General Practice Dentistry
  • Auburndale, FL
  • NPI 1477895464
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1346519675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 ASHTON WOODS LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134821",
            "telephone_number": "863-937-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 US HIGHWAY 92 W",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233921",
            "telephone_number": "863-662-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "HAFSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Kate Stowell, ED.D.
• Sunburst Healthcare Staffing, LLC
• Sara Beryl Sundermeyer, DC
• Superior Home Care
• Suzanne Robertson
• The Occupational Health Center , Inc
• The Ride
• Miranda Theard
• Thurston & Acosta Dental Associates,PL
• Thurston Comprehensive Dental Center

• General Practice Dentistry in Auburndale, FL
• Providers in Auburndale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.