FARDAD TAYEBATY DMD INC
NPI 1114439015
Dentist - Endodontics in Watsonville, CA

Active since October 31, 2017
390 S GREEN VALLEY RD STE 7, WATSONVILLE, CA 95076(831) 536-5880 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fardad Tayebaty Dmd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARDAD TAYEBATY DMD INC (NPI 1114439015) is a healthcare organization registered as an endodontics in Watsonville, California and active in the NPI registry since October 2017. The organization lists Fardad Tayebaty, President, as its authorized official.

NPPES Registry Identity

NPI1114439015
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameFARDAD TAYEBATY DMD INC
Location Address390 S GREEN VALLEY RD STE 7Watsonville, CA 95076-3077
Mailing Address5700 Village Oaks Dr Apt 1408San Jose, CA 95123-3778 · (617) 875-3211
Organization SubpartNo
Authorized OfficialFardad TayebatyPresident · (617) 875-3211
Enumeration DateOctober 31, 2017
NPI 1114439015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 100912
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
390 S GREEN VALLEY RD STE 7, Watsonville, CA 95076

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
390 S GREEN VALLEY RD STE 7
WATSONVILLE, CA 95076
Dentist (Endodontics)
390 S GREEN VALLEY RD STE 7
WATSONVILLE, CA 95076
Dentist (Endodontics)
390 S GREEN VALLEY RD STE 7
WATSONVILLE, CA 95076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fardad Tayebaty Dmd Inc's NPI number?

The NPI number for Fardad Tayebaty Dmd Inc is 1114439015. It was assigned to this organization in the NPPES registry on October 31, 2017.

Where is Fardad Tayebaty Dmd Inc located?

Fardad Tayebaty Dmd Inc is located at 390 S Green Valley Rd Ste 7, Watsonville, CA 95076. The listed phone number is (831) 536-5880.

What is Fardad Tayebaty Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Fardad Tayebaty Dmd Inc was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.