Bita Tahvildari, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

40776 Issued in CA

Legal business name

BITA TAHVILDARI, D.D.S.

Practice address

3588 4TH Ave
Suite 300
San Diego, CA 92103-4981

Phone

(619) 295-5261

Fax

(619) 295-5706

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Bita Tahvildari, DDSNPI 1063801447

Title

Owner

Phone

(619) 295-5261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bita Tahvildari

  • Dentist
  • San Diego, CA
  • NPI 1063801447
  NPD (past) Authorized official

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1376988675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034981",
            "telephone_number": "619-295-5261",
            "fax_number": "619-295-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034981",
            "telephone_number": "619-295-5261",
            "fax_number": "619-295-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITA TAHVILDARI, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "TAHVILDARI",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-295-5261",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna A Bisson, MD
• Bissonette, Frey, Greenberg, Greer, Malkus, Springer (center for family health)
• Bissonette,Frey,Greenberg,Malkus (center for family health)
• Shawn Joseph Bissonnette, MD
• Meeka Biswas
• Carrie Bitsko, A.T.C.
• Natali K. Bittar, M.D.
• Rachel Bittker, M.D.
• David B Bittleman, MD
• Kristina Bittner Godinez

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.