Individual provider Active NPI

Jeffrey P Tarola, D.D.S.

  • General Practice Dentistry
  • Monterey, CA
National Provider Identifier
1831210830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28097 Issued in CA
Practice address
1010 Cass St Ste B2
Monterey, CA 93940-4515
Phone
(831) 375-3206
Fax
(831) 375-3206
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28097 CA Primary

Addresses

Primary practice location

1010 Cass St Ste B2
Monterey, CA 93940-4515

Mailing address

1010 Cass St Ste B2
Monterey, CA 93940-4515
Phone (831) 375-3206

Other identifiers 1

IdentifierTypeStateIssuer
B-28097-01OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831210830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CASS ST STE B2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404515",
            "telephone_number": "831-375-3206",
            "fax_number": "831-375-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CASS ST STE B2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404515",
            "telephone_number": "831-375-3206",
            "fax_number": "831-375-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAROLA",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B-28097-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.