James Robert Tallbacka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN4962 Issued in FL

Practice address

2701 NE 14TH Street Cswy
Suite 4
Pompano Beach, FL 33062-3535

Phone

(954) 946-9120

Fax

(954) 946-6446

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861505182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-946-9120",
            "fax_number": "954-946-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET CSWY",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-946-9120",
            "fax_number": "954-946-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLBACKA",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN4962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy B. Taffel, PT
• Stephanie Jeanne Fazio Talachian, MS CF-SLP
• Purvi Patel Talati, OD
• Ileen Talebzadeh
• Talking Tortuga Therapy LLC
• Tameka N Tallie
• Tak Lung Raymond Tang, APRN
• Catie Tanga, BCABA
• Loudwige Tanis
• Rebecca Elizabeth Tanner

• General Practice Dentistry in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Dentistry in Florida

• 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.