Abdulhassan Aliakbar Tawoosi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102569 Issued in CA

Practice address

650 S Lincoln Ave Ste 102
Corona, CA 92882-3540

Phone

(951) 372-0440

Fax

(951) 372-0660

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Abbey Dental, Inc.

  • Dental Clinic/Center
  • Corona, CA
  • NPI 1932679560
  NPD Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1518155191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S LINCOLN AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823540",
            "telephone_number": "951-372-0440",
            "fax_number": "951-372-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S LINCOLN AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823540",
            "telephone_number": "951-372-0440",
            "fax_number": "951-372-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWOOSI",
        "first_name": "ABDULHASSAN",
        "middle_name": "ALIAKBAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027328",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED",
            "identifier": "102569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Tate
• Sherria Tate
• Logan Edward Tavernier
• Susan Tavitas, LICENSED NURSE
• Andy Karam Nassif Tawfik, DMD
• Brian James Taylor, PHARMD
• Donald Taylor, MD
• Mitchell Taylor
• Natalie Sylvia Taylor, DPT
• Nia Taylor

• General Practice Dentistry in Corona, CA
• Providers in Corona, 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 Mar 16, 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.