Tantra Djaya D.D.S Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33277 Issued in CA

Legal business name

TANTRA DJAYA D.D.S INC.

Practice address

9316 Painter Ave
Whittier, CA 90605-2727

Phone

(562) 945-9493

Fax

(562) 639-8781

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tantra Djaya, DDS

Title

Dentist

Phone

(562) 945-9493

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1982811725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052727",
            "telephone_number": "562-945-9493",
            "fax_number": "562-693-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052727",
            "telephone_number": "562-945-9493",
            "fax_number": "562-639-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANTRA DJAYA D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "DJAYA",
        "authorized_official_first_name": "TANTRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-945-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "969806",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B33277-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfred Tamir, D.D.S
• Theodore A Tanabe, DDS
• Leia Binh Tang, PA-C
• Trien Trey Tang
• William Michael Tannyhill, D.D.S.
• Anita Chih-I Tao, D.D.S.
• Aida Brenda Tapia, NP
• Kristina Tien Tau, LMFT
• Gilda Vafa Tavoussi, DMD
• Mohsen Tavoussi, D.O.

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.