Anthony Tat, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100074 Issued in CA

Practice address

10440 S de Anza Blvd
Suite D-4
Cupertino, CA 95014-3018

Phone

(408) 807-4853

NPI assigned

Apr 1, 2016

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1417310954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292041",
            "telephone_number": "408-807-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 S DE ANZA BLVD",
            "address_2": "SUITE D-4",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143018",
            "telephone_number": "408-807-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAT",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.