Serena Trang Ta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100985 Issued in CA

Practice address

18700 Main St Ste 203
Huntington Beach, CA 92648

Phone

(714) 375-7222

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Serena T Ta Dental Corporation

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1659914612
  NPD Authorized official

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1801343124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 203",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-375-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 203",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-375-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Interstate 35 Frontage road",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "73160",
            "country_code": "US",
            "telephone_number": "405-799-9123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18700 Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "92648",
            "country_code": "US",
            "telephone_number": "714-375-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "SERENA",
        "middle_name": "TRANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6878",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Minute Szekeresh
• Sandra Szymanski
• T &S Luxuryservice, LLC
• Amy Ta
• Emily Phuong-Mi Ta
• Sally Tadross
• Josette Renee Taglieri, D.O.
• Jillian Leigh Tague, MA, ED.S
• Pamela Ruma Taguines, FNP-BC
• Dean Kenji Takiguchi, PT

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.