Active NPI
Natalia Tarasevich, DDS
- General Practice Dentistry
- Palm Beach Gardens, FL
National Provider Identifier
1427274281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI022319 | NJ | MD | Dentist |
| DN16455 | FL | MD | General Practice Dentistry |
| 050599 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Dental Arts and Associates, LLC | Current | Accepting new patients | |
| Cocodental LLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Utica, NY
- NPI 1205977147
-
- Dental Clinic/Center
- North Palm Beach, FL
- NPI 1225777618
-
- General Practice Dentistry
- North Palm Beach, FL
- NPI 1750080750
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.