Tatiana Staver, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401414554 Issued in VA

Practice address

21475 Ridgetop Cir
Suite 200
Sterling, VA 20166-6580

Phone

(703) 444-3710

Fax

(703) 444-8607

NPI assigned

May 29, 2014

Last updated

Mar 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• TS Dentistry, PLLC

  dba Cascades Pediatric Dentistry

  • Dental Clinic/Center
  • Sterling, VA
  • NPI 1629773205
  NPD Authorized official
• Mitnick & Herbst, PC

  • Pediatric Dentistry
  • Sterling, VA
  • NPI 1417245481
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425168000000",
    "number": "1780096479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-444-3710",
            "fax_number": "703-444-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-444-3710",
            "fax_number": "703-444-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVER",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2015-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401414554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Luke Pharmacy LLC (St Luke Pharmacy)
• Lillian Clarise St. Laurent, L.P.C.
• Charlien Anne Staltare
• Erica Stapler, BCBA, LBA
• Brittany Starr, ATC, PA-C
• Shelby Ann Stebbins
• Kathryn Steindler
• Karen A Stephens, PTA
• Sterling Anesthesia, LLC
• Sterling Assisted Living, LLC (Monroe House Assisted Living Community)

• Pediatric Dentistry in Sterling, VA
• Providers in Sterling, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2015; 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.