KEYVAN TAVAKOLI, DDS, MDS, P.A. (NPI# 1003345802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003345802 |
Entity Type | Organization |
Organization Name | KEYVAN TAVAKOLI, DDS, MDS, P.A. |
Other Organization Name | VALERIAN ORTHODONTICS |
Practice Address |
18964 N Dale Mabry Hwy Ste 103 Lutz FL 33548-4913 |
Practice Telephone | (813) 591-1568 |
Mailing Telephone | 8135911568 |
Enumeration Date | 2017-06-06 |
Last Update Date | 2017-06-06 |
Authorized Official Name | DR. KEYVAN TAVAKOLI (PRESIDENT) |
Authorized Official Telephone | 9109225707 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN22487 | FL | Dental Providers |
Other Name | Type Code |
---|---|
Valerian Orthodontics | Doing Business As Name - Organization |
Street Address |
18964 N DALE MABRY HWY STE 103 |
City | LUTZ |
State | FL |
Zip Code | 33548-4913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285987206 | Keyvan Tavakoli | Dentist | 18964 N Dale Mabry Hwy Ste 103, Lutz, FL 33548-4913 | 2012-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
Find all providers in zip 33548 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528198769 | Brian W Thomas | Dentist | 2047 Osprey Ln, Suite D, Lutz, FL 33549-4111 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.