Individual provider Active NPI

Azucena Dy Taon, D.D.S.

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1952471377
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39213 Issued in CA
Practice address
216 E Route 66
Glendora, CA 91740-6241
Phone
(626) 335-0134
Fax
(626) 335-1140
NPI assigned
Nov 9, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39213 CA Primary

Addresses

Primary practice location

216 E Route 66
Glendora, CA 91740-6241

Mailing address

216 E Route 66
Glendora, CA 91740-6241
Phone (626) 335-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 6, 2016 through Jul 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39213CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Office of Joel Barett Henriod DDS Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1952471377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-335-0134",
            "fax_number": "626-335-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-335-0134",
            "fax_number": "626-335-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAON",
        "first_name": "AZUCENA",
        "middle_name": "DY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.