ILIANA TATI DMD
NPI 1649477563
Dentist in Charlottesville, VA

Active since July 03, 2007Opted out of Medicare · through Oct 6, 2027
900 GARDENS BLVD, SUITE 600, CHARLOTTESVILLE, VA 22901(434) 984-3455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Iliana Tati Dmd NPPES

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

ILIANA TATI DMD (NPI 1649477563) is an individual dentist in Charlottesville, Virginia, licensed in Virginia (0401411825) and active in the NPI registry since July 2007. She has opted out of Medicare through October 6, 2027.

NPPES Registry Identity

NPI1649477563
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameILIANA TATICredential: DMD
Location Address900 GARDENS BLVD, SUITE 600Charlottesville, VA 22901-1469
Mailing Address71 D Barclay Pl. Ct.Charlottesville, VA 22901 · (434) 293-8511
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649477563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401411825
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.

900 GARDENS BLVD, Charlottesville, VA 22901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Iliana Tati Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 6, 2021 through October 6, 2027.

Opt-Out Effective DateOctober 6, 2021
Opt-Out In Effect ThroughOctober 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Dentist
900 GARDENS BLVD, SUITE 600
CHARLOTTESVILLE, VA 22901

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 Iliana Tati's NPI number?

The NPI number for Iliana Tati is 1649477563. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Iliana Tati located?

Iliana Tati practices at 900 Gardens Blvd Suite 600, Charlottesville, VA 22901. The listed phone number is (434) 984-3455.

What is Iliana Tati's specialty?

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

Is Iliana Tati enrolled in Medicare?

No. Iliana Tati has opted out of Medicare through October 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Iliana Tati was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.