Monica Tavallaei, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

48036 Issued in CA

Practice address

2190 E Bidwell St
Folsom, CA 95630-6469

Phone

(916) 984-0304

Fax

(916) 983-9012

NPI assigned

May 17, 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

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.

• Tavallaei, D.M.D., Corporation

  • Pediatric Dentistry
  • Folsom, CA
  • NPI 1538225503
  NPD (past) Authorized official
• Tavallaei, D.M.D., Corporation

  • Pediatric Dentistry
  • Auburn, CA
  • NPI 1538225933
  NPD (past) Authorized official
• S.Y. Jang DDS Corporatiom

  • Pediatric Dentistry
  • Auburn, CA
  • NPI 1023408721
  NPD (past)
• S.Y. Jang DDS Corporatiom

  • Pediatric Dentistry
  • Folsom, CA
  • NPI 1194115154
  NPD (past)
• S.Y. Jang DDS Corporatiom

  • Pediatric Dentistry
  • Elk Grove, CA
  • NPI 1831589530
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1356558159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306469",
            "telephone_number": "916-984-0304",
            "fax_number": "916-983-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306469",
            "telephone_number": "916-984-0304",
            "fax_number": "916-983-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVALLAEI",
        "first_name": "MONICA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary R Tannous, DC
• Kiaria Kiyoko Tarver
• Molly Rae Tash
• Tavallaei DMD Corp
• Tavallaei, D.M.D., Corporation
• Antoinette Lashon Taylor, NURSE PRACTITIONER
• Cecille G Taylor, MD
• Christopher Taylor, MFT
• Eva Taylor
• Lisa Taylor, FNP-C

• All providers in Folsom, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.