Active NPI
Leyla Tabesh, DMD
- General Practice Dentistry
- Dublin, CA
National Provider Identifier
1679703375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64240
- Practice address
- 4288 Dublin Blvd Ste 209
Dublin, CA 94568-3178 - Phone
- (258) 299-8849
- NPI assigned
- Jul 16, 2009
- Last updated
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12730 | MN | |
| General Practice Dentistry | 1223G0001X | 64240 | CA | Primary |
Addresses
Primary practice location
4288 Dublin Blvd Ste 209
Dublin, CA 94568-3178
Mailing address
4288 Dublin Blvd Ste 209
Dublin, CA 94568-3178
Phone (925) 829-9884
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12730 | MN | MD | Dentist |
| 64240 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanji and Savtri Inc | General Practice | Past | Accepting new patients |
| Dublin Family Dentistry | General Practice | Past | Accepting new patients |
| Dublin Family Dentistry | Dentist | Past | Accepting new patients |
| Twin Cities Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Dublin, CA
- NPI 1194926030
-
- Dentist
- Dublin, CA
- NPI 1508319047
-
- General Practice Dentistry
- Minneapolis, MN
- NPI 1184169153
-
- General Practice Dentistry
- Minneapolis, MN
- NPI 1871750026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1679703375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4288 DUBLIN BLVD STE 209",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683178",
"telephone_number": "925-829-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4288 DUBLIN BLVD STE 209",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683178",
"telephone_number": "258-299-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABESH",
"first_name": "LEYLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12730",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.