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DR. TISA SIADATIE D.D.S.
NPI 1407026909
Dentist in Bakersfield, CA

Active since March 11, 2008
3873 STOCKDALE HWY, BAKERSFIELD, CA 93309(805) 377-2222 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2021, Apr 12, 2021, Feb 15, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Tisa Siadatie D.d.s. NPPES

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

DR. TISA SIADATIE D.D.S. (NPI 1407026909) is an individual dentist in Bakersfield, California, licensed in California (55338) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1407026909
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TISA SIADATIECredential: D.D.S.
Location Address3873 STOCKDALE HWYBakersfield, CA 93309-2189
Mailing Address3873 Stockdale Hwy # 623Bakersfield, CA 93309-2189 · (805) 377-2222
Phone(805) 377-2222
Sole ProprietorYes
Enumeration DateMarch 11, 2008
Last NPPES UpdateApril 19, 20214 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1407026909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 55338
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3873 STOCKDALE HWY, Bakersfield, CA 93309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MICHELLE MARTINEZ, DDS & QUYEN M PHAM, DDS, INC.
Dentist (General Practice)
3873 STOCKDALE HWY
BAKERSFIELD, CA 93309
Kern County (661) 831-8042
SIADATIE A PROF DENTAL CORP
Clinic/Center (Dental)
3873 STOCKDALE HWY
BAKERSFIELD, CA 93309
Kern County (805) 377-2222

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 Tisa Siadatie's NPI number?

The NPI number for Tisa Siadatie is 1407026909. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Tisa Siadatie located?

Tisa Siadatie practices at 3873 Stockdale Hwy, Bakersfield, CA 93309. The listed phone number is (805) 377-2222.

What is Tisa Siadatie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tisa Siadatie accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tisa Siadatie 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 Tisa Siadatie was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.