Mahboubeh Sayed Taghavi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8099 Issued in TN

Practice address

5126 Summer Ave Suite 101
Memphis, TN 38122

Phone

(901) 818-1990

Fax

(901) 818-1991

NPI assigned

Apr 4, 2007

Sex

Female

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

Practice roles

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.

• Ac Dental of Tennessee, PLC

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1336378272
  NPD (past)
• Imperial Dental

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1588045454
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1508988254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE. SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38122",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38122",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHAVI",
        "first_name": "MAHBOUBEH",
        "middle_name": "SAYED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Paul Tackett Jr., M.D.
• Sarah Taddia
• Zeab Tadesse, PHARMD
• Arnold R Tag, MD
• Miranda Gail Taggart, MD
• Seyed Omid Taghavi, DO
• Neil Chandrakant Tailor, M.D.
• Stephanie Nicole Taimanglo, APRN
• Jerry Frank Taintor, D.D.S., M.S.
• Taj Services LLC

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.