DR. TRACY TAT KHERADPOUR D.M.D.
NPI 1356718548
Dentist - General Practice in Mountain View, CA

Q: What is Tracy Kheradpour's NPI number?

The NPI number for Tracy Kheradpour is 1356718548. It was assigned to this individual provider in the NPPES registry on August 24, 2015. The provider is also known as Tracy Felicia Tat.

Q: What is Tracy Kheradpour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Kheradpour was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 24, 2015

1950 MONTECITO AVE APT 22, MOUNTAIN VIEW, CA 94043(781) 929-7484 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Tracy Tat Kheradpour D.m.d. NPPES

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

DR. TRACY TAT KHERADPOUR D.M.D. (NPI 1356718548) is an individual general practice provider in Mountain View, California, licensed in California (64985) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1356718548

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TRACY TAT KHERADPOURCredential: D.M.D.

Location Address1950 MONTECITO AVE APT 22Mountain View, CA 94043-4334

Mailing Address1950 Montecito Ave, Apt 22Mountain View, CA 94043-4334

Phone(781) 929-7484

Sole ProprietorNo

Enumeration DateAugust 24, 2015

✔ NPI 1356718548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 64985

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1950 MONTECITO AVE APT 22, Mountain View, CA 94043

Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy Felicia Tat

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 Tracy Kheradpour's NPI number?

The NPI number for Tracy Kheradpour is 1356718548. It was assigned to this individual provider in the NPPES registry on August 24, 2015. The provider is also known as Tracy Felicia Tat.

Where is Tracy Kheradpour located?

Tracy Kheradpour practices at 1950 Montecito Ave Apt 22, Mountain View, CA 94043. The listed phone number is (781) 929-7484.

What is Tracy Kheradpour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tracy Kheradpour was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.