Individual provider Active NPI

Tara Esmeili, DDS

  • Dentist
  • Redwood City, CA
National Provider Identifier
1376505107
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50136 Issued in CA
Practice address
29 Birch St Ste 4
Redwood City, CA 94062-1430
Phone
(650) 226-8137
NPI assigned
Apr 5, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50136 CA Primary

Addresses

Primary practice location

29 Birch St Ste 4
Redwood City, CA 94062-1430

Mailing address

1244 Bellevue Ave Apt 6
Burlingame, CA 94010-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1376505107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BELLEVUE AVE APT 6",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BIRCH ST STE 4",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621430",
            "telephone_number": "650-226-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMEILI",
        "first_name": "TARA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.