Active NPI
Leila Tarsa, D.D.S.,M.S.
- Endodontics
- Lake Oswego, OR
National Provider Identifier
1356499586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8743
- Practice address
- 320 'A' Avenue
Lake Oswego, OR 97034-3056 - Phone
- (503) 636-3383
- Fax
- (503) 635-8632
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8743 | OR | Primary |
Addresses
Primary practice location
320 'A' Avenue
Lake Oswego, OR 97034-3056
Mailing address
320 'A' Avenue
Lake Oswego, OR 97034-3056
Phone (503) 636-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251028003030 | OR | Order and Referring Only - Dentist | 8820587181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8743 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1356499586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 'A' AVENUE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343056",
"telephone_number": "503-636-3383",
"fax_number": "503-635-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 'A' AVENUE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343056",
"telephone_number": "503-636-3383",
"fax_number": "503-635-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARSA",
"first_name": "LEILA",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "8743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.