Active NPI
Nora Tadi, DDS
- Dentist
- Little Elm, TX
National Provider Identifier
1699046193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27640
- Practice address
- 2701 Little Elm Pkwy # 100491
Little Elm, TX 75068-6672 - Phone
- (949) 400-3875
- NPI assigned
- Jan 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27640 | TX | |
| Dentist | 122300000X | 27640 | TX | Primary |
Addresses
Primary practice location
2701 Little Elm Pkwy # 100491
Little Elm, TX 75068-6672
Mailing address
2701 Little Elm Pkwy # 100491
Little Elm, TX 75068-6672
Phone (949) 400-3875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160421002411 | TX | Order and Referring Only - Dentist | 0941515019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Odessa PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1699046193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 LITTLE ELM PKWY # 100491",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750686672",
"telephone_number": "949-400-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 LITTLE ELM PKWY # 100491",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750686672",
"telephone_number": "949-400-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADI",
"first_name": "NORA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-16",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27640",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.