Giancarlo G Tassara, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

56932 Issued in CA

Practice address

1111 W Town and Country Rd Ste 46
Orange, CA 92868-4667

Phone

(657) 235-8033

Fax

(657) 247-0444

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Giancarlo Tassara DDS Inc

  dba Smileline Dental and Orthodontics

  • Dentist
  • Orange, CA
  • NPI 1174081152
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1760540942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667",
            "telephone_number": "657-235-8033",
            "fax_number": "657-247-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667",
            "telephone_number": "657-235-8033",
            "fax_number": "657-247-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSARA",
        "first_name": "GIANCARLO",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Tary, LMFT
• Davood Tarzi, MD
• Nour Tarzi
• Hisano Tasedan, PA-C, ATC
• Christopher Daniel Tashman
• Lucille Tate
• Patricia L Tate, CPNP
• Manjot Kaur Tathgur, DDS
• Hafsah Ahmed Tauseef, PHD
• Jacob Vaitoelau Tautolo

• Orthodontics and Dentofacial Orthopedics Dentistry in Orange, CA
• Providers in Orange, 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 Feb 26, 2020; 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.

Verify at the official NPI Registry.