Mario Ea Wa Tai, D.M.D., D.M.SC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

53735 Issued in CA

Practice address

4050 Barranca Pkwy
Suite 220
Irvine, CA 92604-7706

Phone

(646) 708-3709

Fax

(949) 861-9889

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1962693283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 LADRILLO AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068819",
            "telephone_number": "646-708-3709",
            "fax_number": "949-861-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BARRANCA PKWY",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047706",
            "telephone_number": "646-708-3709",
            "fax_number": "949-861-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "MARIO",
        "middle_name": "EA WA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., D.M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Karina Tagle
• Sanam Tahan, RDN
• Nima Taheri, MD
• Myra Tahir
• Kooshyar Tahmasbi Dezfuly
• Meha Tailor
• Sandra Tajimaroa, MSW
• Annie Tak
• Michelle Takai
• Madhuri S Takale, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Irvine, CA
• Providers in Irvine, 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 Oct 12, 2012; 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.