Cina Tavanaei, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

12200 W 106TH St Ste 325
Overland Park, KS 66215-2381

Phone

(913) 498-7004

NPI assigned

Mar 20, 2023

Sex

Male

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: cina.tavanaei@hca2.eclinicaldirectplus.com

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1841992476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 325",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152381",
            "telephone_number": "913-498-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 325",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152381",
            "telephone_number": "913-498-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVANAEI",
        "first_name": "CINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian G Tarnow, CRNA
• Cheree Tate, CRNA
• Jason Blake Tate
• Richard Tauscher, L.M.T.
• Tav Home Health LLC
• Andrea Darlene Taylor, LCSW, LSCSW
• Ava Kathryn Taylor
• Brooke Taylor, COTA
• Dalton Taylor
• Elizabeth Taylor, MS, BCBA

• Student in an Organized Health Care Education/Training Program in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Student in an Organized Health Care Education/Training Program in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.