Alexander Tarasov, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DT-2628 Issued in HI

Practice address

4211 Waialae Ave
Ste 111
Honolulu, HI 96816-5319

Phone

(808) 732-4377

NPI assigned

Oct 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Aleksandr Tarasov Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1588949259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165836",
            "telephone_number": "808-732-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165319",
            "telephone_number": "808-732-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASOV",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "61395",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "DT-2628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSANDR",
            "last_name": "TARASOV",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chad Tao, MD
• Ryenn Taogoshi
• Feather Tapio, LMHC
• Pritam Tapryal, M.D.
• Tara Yamauchi-Lum LLC
• Stephen Andrew Tarek, D.C.
• Catherine Tarleton
• Jennifer H Tarnay, M.S., CCC-SLP
• John Tarnowski
• Taro Dental LLC

• Prosthodontics in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Prosthodontics in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.