DR. BERT ANTHONY TAVARY D.D.S.
NPI 1811103732
Dentist - General Practice in St Augustine, FL

Q: What is Bert Tavary's NPI number?

The NPI number for Bert Tavary is 1811103732. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Bert Tavary'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 Bert Tavary was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 15, 2007PECOS Enrolled

700 ANASTASIA BLVD, ST AUGUSTINE, FL 32080(904) 824-3540(904) 824-3541 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Bert Anthony Tavary D.d.s. NPPES

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

DR. BERT ANTHONY TAVARY D.D.S. (NPI 1811103732) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN 8627) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811103732

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BERT ANTHONY TAVARYCredential: D.D.S.

Location Address700 ANASTASIA BLVDSt Augustine, FL 32080-4616

Mailing Address700 Anastasia BlvdSt Augustine, FL 32080-4616 · (904) 824-3540 · Fax (904) 824-3541

Phone(904) 824-3540

Fax(904) 824-3541

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811103732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 8627

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.

700 ANASTASIA BLVD, St Augustine, FL 32080

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bert Anthony Tavary D.d.s. 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 32080 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

SALT RUN FAMILY DENTISTRY, LLC

Dentist (General Practice)

700 ANASTASIA BLVD
SAINT AUGUSTINE, FL 32080

St. Johns County (904) 824-3540

DACIA LYNN SPRENGER CRDH

Dental Hygienist

700 ANASTASIA BLVD
ST AUGUSTINE, FL 32080

St. Johns County (904) 824-3540

BERT A TAVARY, D.D.S., P.A.

Dentist

700 ANASTASIA BLVD
SAINT AUGUSTINE, FL 32080

St. Johns County (904) 824-3540

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 Bert Tavary's NPI number?

The NPI number for Bert Tavary is 1811103732. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Bert Tavary located?

Bert Tavary practices at 700 Anastasia Blvd, St Augustine, FL 32080. The listed phone number is (904) 824-3540.

What is Bert Tavary's specialty?

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

Is Bert Tavary enrolled in Medicare?

Yes. Bert Tavary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bert Tavary was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.