Individual provider Active NPI

Natalia Tarasevich, DDS

  • General Practice Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1427274281
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16455 Issued in FL
Practice address
11380 Prosperity Farms Rd Ste 101
Palm Beach Gardens, FL 33410-3450
Phone
(561) 833-2374
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16455 FL Primary
Dentist 122300000X 050599 NY
Dentist 122300000X 22DI022319 NJ

Addresses

Primary practice location

11380 Prosperity Farms Rd Ste 101
Palm Beach Gardens, FL 33410-3450

Mailing address

8074 Hobbes Way
Palm Beach Gardens, FL 33418-6071
Phone (239) 595-7474

Other practice location 1

1310 Genesee St
Utica, NY 13502-4761
Phone (315) 732-5100

Other practice location 2

721 US Highway 1 Ste 106
North Palm Beach, FL 33408-4519
Phone (561) 855-4703

Other names 1

  • Natalia Tsar Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI022319NJMDDentist
DN16455FLMDGeneral Practice Dentistry
050599NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Dental Arts and Associates, LLC CurrentSince Jun 5, 2022 Accepting new patients
Cocodental LLC General Practice PastSince Mar 5, 2023 Accepting new patients
Tsar Dental, PC General Practice Past Accepting new patients

Locations

721 US Highway 1
Ste 106
North Palm Beach, FL 33408
Phone (561) 494-2897

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1427274281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 HOBBES WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186071",
            "telephone_number": "239-595-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103450",
            "telephone_number": "561-833-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024761",
            "country_code": "US",
            "telephone_number": "315-732-5100",
            "fax_number": "315-732-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 US Highway 1 Ste 106",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334084519",
            "country_code": "US",
            "telephone_number": "561-855-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARASEVICH",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16455",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050599",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI022319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "TSAR",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.