Kristina Trang Ta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108181 Issued in CA

Practice address

6167 Bristol Pkwy Ste 300
Culver City, CA 90230-6616

Phone

(310) 734-4547

NPI assigned

Oct 24, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ahuja Bristol Dental Inc

  • Dentist
  • Culver City, CA
  • NPI 1285524603
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1841917515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 MONTEREY RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081735",
            "telephone_number": "703-223-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306616",
            "telephone_number": "310-734-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "KRISTINA",
        "middle_name": "TRANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Emily Sy
• Jimmy Sydow
• Ioan Gabriel Szekely, PT
• T. Sano MD Inc
• Ta Solutions LLC
• Payam Taghizadeh, D.D.S.
• Kaveh Taheri, D.D.S.
• Hani Kazem Tajsar, DMD, MPH
• Brandon David Takahashi, D.C
• Ramon Luke Takaki

• Dentist in Culver City, CA
• Providers in Culver City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.