Individual provider Active NPI

Tabitha Katai, DMD

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1831732288
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11647 Issued in NC
Practice address
2401 Capital Blvd
Raleigh, NC 27604-2236
Phone
(919) 827-8980
Fax
(919) 827-8981
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11647 NC
General Practice Dentistry 1223G0001X 11647 NC Primary

Addresses

Primary practice location

2401 Capital Blvd
Raleigh, NC 27604-2236

Mailing address

1130 Carlton Ave Apt 104
Raleigh, NC 27606-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230607003462 NC Order and Referring Only - DentistPractitioner - Dentist 2062879927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11647NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1831732288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CARLTON AVE APT 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042236",
            "telephone_number": "919-827-8980",
            "fax_number": "919-827-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAI",
        "first_name": "TABITHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11647",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.