Madhuri S Takale, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58266 Issued in CA

Practice address

301 Sonoma Aisle
Irvine, CA 92618-3919

Phone

(978) 608-4005

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madhuri S Takale Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mtakale@direct.westerndental.com

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1942435656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SONATA ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187021",
            "telephone_number": "978-608-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SONOMA AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183919",
            "telephone_number": "978-608-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKALE",
        "first_name": "MADHURI",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHURI",
            "last_name": "TAKALE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mario Ea Wa Tai, D.M.D., D.M.SC.
• Meha Tailor
• Sandra Tajimaroa, MSW
• Annie Tak
• Michelle Takai
• Ryoko Takayama, LAC
• Take Control Therapeutic Services Inc
• Takeda Health Group Inc.
• Richard Taketa, M.D.
• Lauren Yumi Taketomo, DC

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.