Kathleen Tavarez, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40340 Issued in CA

Practice address

800 Menlo Ave Ste 101
Menlo Park, CA 94025-4732

Phone

(650) 329-9600

Fax

(650) 249-3556

NPI assigned

May 22, 2008

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1902064231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MENLO AVE STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254732",
            "telephone_number": "650-329-9600",
            "fax_number": "650-249-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MENLO AVE STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254732",
            "telephone_number": "650-329-9600",
            "fax_number": "650-249-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Iriana Tailo, OD
• Maryam Tajiki, EDD
• Heather Tamagna-Darr, PT
• April Tan, NC, BCHN
• William C Tarr, D.C.
• Dorothea K Taylor, M.S.
• Wendy Elise Taylor
• Glenn Thompson Teeter, PSY.D.
• Adriana Esther Telias Rabinovich, RDN
• The Airplane Spoon Feeding, Communicology & Developmental Services Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.