Individual provider Active NPI

Lindsay Marie Tatman, DMD, MS

  • Oral and Maxillofacial Radiology Dentistry
  • Los Angeles, CA
National Provider Identifier
1922813450
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
DDS110082 Issued in CA
Practice address
1747 W 30TH St
Los Angeles, CA 90018-3195
Phone
(303) 828-8497
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X DDS110082 CA Primary

Addresses

Primary practice location

1747 W 30TH St
Los Angeles, CA 90018-3195

Mailing address

1747 W 30TH St
Los Angeles, CA 90018-3195
Phone (303) 828-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DDS110082CAMDOral and Maxillofacial Radiology Dentist

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1922813450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183195",
            "telephone_number": "303-828-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183195",
            "telephone_number": "303-828-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATMAN",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CA",
            "license": "DDS110082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.