Mario E. Tai, D.M.D., D.M.SC., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

53735 Issued in CA

Legal business name

MARIO E. TAI, D.M.D., D.M.SC., INC.

Practice address

18250 Roscoe Blvd
Suite 315
Northridge, CA 91325-4226

Phone

(818) 885-8650

Fax

(818) 885-7169

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mario E Tai, D.M.D.

Title

President

Phone

(818) 885-8650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1699041798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "SUITE 315",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-8650",
            "fax_number": "818-885-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "SUITE 315",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-8650",
            "fax_number": "818-885-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO E. TAI, D.M.D., D.M.SC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "TAI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-885-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Northridge, CA
• Providers in Northridge, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.