Don Tatalovich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5179 Issued in ID

Practice address

8385 N Cornerstone Dr
Hayden, ID 83835-8684

Phone

(208) 772-5141

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Cornerstone Dental Center

  • Dental Clinic/Center
  • Hayden, ID
  • NPI 1386260644
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1982212403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 N CLOVERLEAF DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358259",
            "telephone_number": "715-892-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 N CORNERSTONE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358684",
            "telephone_number": "208-772-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATALOVICH",
        "first_name": "DON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Swanson Jr., LMHCA
• Sierra Swick, LCPC.
• Syringa Bodywork LLC
• Cecelia Juanita Talbot, COUNSELOR INTERN
• Cianne Tassler, LMT
• Constance Joyce Taylor, CONNIE TAYLOR
• Tessendorf Family Chiropractic, LLC
• Joseph Neal Tessendorf, D.C.
• Kathryn Tessendorf, CMT
• Thomas N Tessendorf, DC

• General Practice Dentistry in Hayden, ID
• Providers in Hayden, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.