Walnut Creek Modern Dentistry, Prof. Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WALNUT CREEK MODERN DENTISTRY, PROF. CORP.

Practice address

2200 Oak Grove Rd
Walnut Creek, CA 94598-2509

Phone

(925) 262-9734

Fax

(925) 262-8093

NPI assigned

Apr 21, 2026

Organization subpart

No

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

Authorized official

Name

Talia Taba, DDS

Title

Owner

Phone

(925) 262-9734

Specialties & licenses 1

Addresses

Other names 1

• Walnut Creek Modern Dentistry Doing business as

Tax ID family

Walnut Creek Modern Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walnut Creek Modern Dentistry, Prof. Corp

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1427999499
  NPD tax ID

Locations

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1508701129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OAK GROVE RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982509",
            "telephone_number": "925-262-9734",
            "fax_number": "925-262-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK MODERN DENTISTRY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "TABA",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-262-9734",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walnut Creek Endoscopy Center LLC
• Walnut Creek Eye Medical Group, Inc
• Walnut Creek Heartscan, LLC
• Walnut Creek Medical Group
• Walnut Creek Modern Dentistry, Prof. Corp
• Walnut Creek Optical
• Walnut Creek Optical
• Walnut Creek Optometry Group
• Walnut Creek Orthopedics and Sports Medicine, Professional Corporation
• Walnut Creek Pediatric Medical GRP

• General Practice Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, 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 Apr 21, 2026; 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.