FARDAD TAYEBATY DMD
NPI 1396908943
Dentist - Endodontics in Watsonville, CA

Active since July 03, 2008PECOS Enrolled
390 S GREEN VALLEY RD STE 7, WATSONVILLE, CA 95076(617) 875-3211 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fardad Tayebaty Dmd NPPES

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

FARDAD TAYEBATY DMD (NPI 1396908943) is an individual endodontics provider in Watsonville, California, licensed in California (100912) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396908943
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameFARDAD TAYEBATYCredential: DMD
Location Address390 S GREEN VALLEY RD STE 7Watsonville, CA 95076-3077
Mailing Address390 S Green Valley Rd Ste 7Watsonville, CA 95076-3077 · (617) 875-3211
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateApril 9, 2018
NPI 1396908943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses Licensed in CA · 100912 Licensed in NY · 055815 Licensed in NJ · 22DI02435200
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22292 (MA), 22D102435200 (NJ)
390 S GREEN VALLEY RD STE 7, Watsonville, CA 95076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fardad Tayebaty Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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's NPI number?

The NPI number for Fardad Tayebaty is 1396908943. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Fardad Tayebaty located?

Fardad Tayebaty practices at 390 S Green Valley Rd Ste 7, Watsonville, CA 95076. The listed phone number is (617) 875-3211.

What is Fardad Tayebaty's specialty?

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

Is Fardad Tayebaty enrolled in Medicare?

Yes. Fardad Tayebaty is registered in the Medicare PECOS enrollment system.

What insurance does Fardad Tayebaty accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Fardad Tayebaty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fardad Tayebaty was last updated on April 9, 2018. 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.