Asif Taufiq, D.D.S, M.B.A

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

010652 Issued in GA

Practice address

15 Collins Industrial Way
Suite B
Lawrenceville, GA 30043-5491

Phone

(770) 962-0515

Fax

(770) 962-1244

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• Gwinnett Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lawrenceville, GA
  • NPI 1205014578
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659391019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLLINS INDUSTRIAL WAY",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435491",
            "telephone_number": "770-962-0515",
            "fax_number": "770-962-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLLINS INDUSTRIAL WAY",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435491",
            "telephone_number": "770-962-0515",
            "fax_number": "770-962-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUFIQ",
        "first_name": "ASIF",
        "credential": "D.D.S, M.B.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "GA",
            "license": "010652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nouman Tanveer, DO
• Pauline Tanyi
• Shundra Tarver
• Pragnya Tatikonda
• Richard Tatum
• Carol Yvette Taylor-Ali, RN
• Daviea Antoinette Taylor-Hicks, PA-C
• Adaky Chidundo Taylor, PA-C
• Charmion Lynell Taylor
• Colleen Taylor, PHD

• Oral and Maxillofacial Pathology Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Oral and Maxillofacial Pathology Dentistry in Georgia

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.