Kayla Tavares, DDS, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

KAYLA TAVARES, DDS, PLLC

Doing business as

Cornerstone Endodontics

Practice address

5540 Sycamore School Rd Ste 336
Fort Worth, TX 76123-3061

Phone

(817) 591-0336

Fax

(817) 591-0098

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kayla Tavares, DDS, MDSNPI 1528323060

Title

Owner

Phone

(205) 745-0942

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayla Tavares, D.D.S.

  • Endodontics
  • Fort Worth, TX
  • NPI 1528323060
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1811515182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DIABLO DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286591",
            "telephone_number": "205-745-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SYCAMORE SCHOOL RD STE 336",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233061",
            "telephone_number": "817-591-0336",
            "fax_number": "817-591-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA TAVARES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-745-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Kathleen Kay, MA CCCA FAAA
• Jonathan David Kaye, M.D.
• Kaygee Medical Transportation Services
• Kaygee Total Care Inc
• Alice Kayirangwa, FNP
• Kayla White Kayla White
• Scott Kayser, MD
• Victor Kaytser, MD
• Poonam L Kaza, M.D
• Muhammad Asim Kazim

• Endodontics in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.