Jeffrey Spencer Tatarin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00204081 Issued in CO

Practice address

9025 E Mineral Cir Ste 101
Centennial, CO 80112-3449

Phone

(303) 799-1525

NPI assigned

Jul 2, 2019

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 CO

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

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 and National Provider Directory roles.

• Jeffrey S Tatarin DDS PC

  • Dental Clinic/Center
  • Centennial, CO
  • NPI 1235714569
  NPD Authorized official
• Kenneth L Andow, DDS, PC

  • General Practice Dentistry
  • Centennial, CO
  • NPI 1992703144
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1780246447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15871 OVERTON ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081041",
            "telephone_number": "714-679-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 E MINERAL CIR STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123449",
            "telephone_number": "303-799-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARIN",
        "first_name": "JEFFREY",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Tapia
• Frances Tapia
• Neda Tarjan, DDS
• Lisa Tarr, MSPT
• Emma Tarte
• Taurenix Healthcare LLC
• Charlie Tavormina
• Charil Taylor
• Christian Marie Taylor
• Deborah A Taylor, LPC, CAC II

• Dentist in Centennial, CO
• Providers in Centennial, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.