Yadnay Tabares, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 20019 Issued in FL

Practice address

18964 N Dale Mabry Hwy
Suite # 101
Lutz, FL 33548-4913

Phone

(615) 477-4047

NPI assigned

Jul 22, 2009

Last updated

Nov 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tabares Dental PA

  • Pediatric Dentistry
  • Lutz, FL
  • NPI 1144772583
  NPD (past) Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1669602876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18964 N DALE MABRY HWY",
            "address_2": "SUITE # 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "615-477-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18964 N DALE MABRY HWY",
            "address_2": "SUITE # 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "615-477-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES",
        "first_name": "YADNAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 20019",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweet Dreams Tampa Sleep Apnea Institute LLC
• Synapse Healthcare LLC
• Synergic Healthcare Solutions LLC
• Synergic Healthcare Solutions LLC
• Tabares Dental PA
• Zeina Takieddine, M.D.
• Jaimin Taktawala
• Lucerna Tamames, FNP
• Rinat Rene Tamames, FNP
• Tampa Autism Diagnostic Center LLC (Tampa Autism Testing Center)

• Pediatric Dentistry in Lutz, FL
• Providers in Lutz, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.