Tam & Cottrell Dental Partnership

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TAM & COTTRELL DENTAL PARTNERSHIP

Doing business as

Santa Maria Pediatric Dental Group & Ortho

Practice address

570 E Betteravia Rd Ste C
Santa Maria, CA 93454-8851

Phone

(805) 922-2888

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Tam, DDSNPI 1710141783

Title

General Partner

Phone

(949) 322-9778

Specialties & licenses 2

Addresses

Other names 1

• Santa Maria Pediatric Dental Group & Ortho Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith H Tam, DDS

  • Pediatric Dentistry
  • Santa Maria, CA
  • NPI 1710141783
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1437872777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E BETTERAVIA RD STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548851",
            "telephone_number": "805-922-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E BETTERAVIA RD STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548851",
            "telephone_number": "805-922-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAM & COTTRELL DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "949-322-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Pediatric Dental Group & Ortho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James A Tahmisian, PHD
• Yi-Hsin Tai, AU.D.
• Femi Gabriel Taiwo
• Manuel Montoya Tajon, PSYD
• Lyle Takahashi, PHARM. D.
• Keith H Tam, DDS
• Alexia Monserrat Tamayo-Gonzalez
• Anel Vanessa Tamayo
• Jonathan Edward Tammela, MD
• Karen Ross Tammela, MD

• Pediatric Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.