Iliana Tati, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401411825 Issued in VA

Practice address

900 Gardens Blvd
Suite 600
Charlottesville, VA 22901-1469

Phone

(434) 984-3455

NPI assigned

Jul 3, 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

Opted out of Medicare

Yes, effective Oct 6, 2021 through Oct 6, 2027

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.

• Aesthetic Dentistry of Charlottesville, P.C.

  • Dentist
  • Charlottesville, VA
  • NPI 1700929395
  NPD (past)
• First Dental of West Chester, Inc.

  • Dentist
  • West Chester, PA
  • NPI 1447370721
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649477563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 D BARCLAY PL. CT.",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-293-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GARDENS BLVD",
            "address_2": "SUITE 600",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011469",
            "telephone_number": "434-984-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATI",
        "first_name": "ILIANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tassco Staffing LLC
• Steven Andrew Tatar, MD
• Alan C Tate, DO
• Anna L Tate, AG-ACNP
• Victoria Pezzullo Tate, PSYD, LCP
• Alex Taurel
• Amy C Taylor, M.D.
• Angela M. Taylor, M.D.
• Ashton H Taylor, LPC
• C'Esa Taylor, AGACNP-BC

• Dentist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.