Organization Active NPI

Mark Tavakoli DDS Dental Corporation

  • Dentist
  • Oakland, CA
National Provider Identifier
1972444115
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARK TAVAKOLI DDS DENTAL CORPORATION
Practice address
8105 Edgewater Dr Ste 1
Oakland, CA 94621-2019
Phone
(510) 256-7116
Fax
(510) 344-7311
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Dr. Mark Majid Tavakoli, DDS., MSNPI 1013482868
Title
Ceo
Phone
(925) 285-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8105 Edgewater Dr Ste 1
Oakland, CA 94621-2019

Mailing address

8105 Edgewater Dr Ste 1
Oakland, CA 94621-2019
Phone (510) 256-7116

Other practice location 1

485 34th St Ste 102
Oakland, CA 94609-2823
Phone (510) 358-8388

National Provider Directory

National Provider Directory
Tax ID family
Mark Tavakoli DDS Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1972444115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 EDGEWATER DR STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212019",
            "telephone_number": "510-256-7116",
            "fax_number": "510-344-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 EDGEWATER DR STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212019",
            "telephone_number": "510-256-7116",
            "fax_number": "510-344-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 34th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946092823",
            "country_code": "US",
            "telephone_number": "510-358-8388",
            "fax_number": "510-344-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK TAVAKOLI DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MAJID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-285-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS., MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.