Fred H Tafoya, DDS

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4202 Issued in NE

Practice address

1221 Golden Gate Dr
Papillion, NE 68046-2837

Phone

(402) 331-2070

Fax

(402) 331-2186

NPI assigned

Feb 13, 2007

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

Not listed in the public Medicare enrollment file

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.

• Paragon Dental PC

  • Dentist
  • Papillion, NE
  • NPI 1497892210
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659413003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-331-2070",
            "fax_number": "402-331-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-331-2070",
            "fax_number": "402-331-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "FRED",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Swanson
• June Swiercek
• Brandon Chase Sylvan
• Molly Sysouvanh
• Angelo Tablante
• Heather Taggart, M.D.
• Andrea Ann Takacs
• Danielle Afi Tameklo
• Emanuel Tameklo
• Karen Jane Targy

• General Acute Care Hospital in Papillion, NE
• Providers in Papillion, NE by specialty
• General Acute Care Hospital in Nebraska

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

Verify at the official NPI Registry.