Organization Active NPI

Tayari Dental LLC

  • General Practice Dentistry
  • Burlington, MA
National Provider Identifier
1407420615
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TAYARI DENTAL LLC
Practice address
265 Winn St Ste 204
Burlington, MA 01803-2634
Phone
(781) 273-1152
Fax
(781) 273-4700
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Lili Tayari, DMDNPI 1881766327
Title
Owner Dentist
Phone
(617) 767-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

265 Winn St Ste 204
Burlington, MA 01803-2634

Mailing address

265 Winn St Ste 204
Burlington, MA 01803-2634
Phone (781) 273-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311002097 MA DME Supplier - Oral Surgery - Dentist 4880089747 Practice locations: Burlington, MA

National Provider Directory

National Provider Directory

Locations

265 Winn St
Ste 204
Burlington, MA 01803
Phone (781) 273-1152

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1407420615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WINN ST STE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032634",
            "telephone_number": "781-273-1152",
            "fax_number": "781-273-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WINN ST STE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032634",
            "telephone_number": "781-273-1152",
            "fax_number": "781-273-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYARI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "TAYARI",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-767-1200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.