NPIMap

Individual provider Active NPI

Raymond M. Tash, D.D.S.

  • Dentist
  • Huntington Park, CA
National Provider Identifier
1609918705
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43564 Issued in CA
Practice address
6438 Rita Ave
Huntington Park, CA 90255-4187
Phone
(323) 277-4044
Fax
(323) 277-4047
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43564 CA Primary

Addresses

Primary practice location

6438 Rita Ave
Huntington Park, CA 90255-4187

Mailing address

6438 Rita Ave
Huntington Park, CA 90255-4187
Phone (323) 277-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Tash DDS a Professional Corporation Current Accepting new patients
New Age Dental Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1609918705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 RITA AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554187",
            "telephone_number": "323-277-4044",
            "fax_number": "323-277-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 RITA AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554187",
            "telephone_number": "323-277-4044",
            "fax_number": "323-277-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASH",
        "first_name": "RAYMOND",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.