Organization Active NPI

Taberna Dental Corporation

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1891979191
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TABERNA DENTAL CORPORATION
Practice address
282 S Main St
Milpitas, CA 95035-5315
Phone
(408) 946-4815
Fax
(408) 946-3249
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Milagros Lingat Taberna, D.M.D.NPI 1013922459
Title
President
Phone
(408) 946-4815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

282 S Main St
Milpitas, CA 95035-5315

Mailing address

282 S. Main St.
Milpitas, CA 95035-5315
Phone (408) 946-4815

Other identifiers 1

IdentifierTypeStateIssuer
42500OtherCADENTAL BOARD LICENSE #

Other names 1

  • Jacklin Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

282 S Main St
Milpitas, CA 95035
Phone (408) 946-4815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1891979191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 S. MAIN ST.",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355315",
            "telephone_number": "408-946-4815",
            "fax_number": "408-946-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355315",
            "telephone_number": "408-946-4815",
            "fax_number": "408-946-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABERNA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "TABERNA",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "LINGAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-946-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD LICENSE #",
            "identifier": "42500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacklin Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.