OrganizationActive
Tavakolian DDS, Inc.
NPI 1104552231 · Dental Clinic/Center · San Mateo, CA
Tavakolian DDS, Inc. is a Dental Clinic/Center organization in San Mateo, CA (NPI 1104552231).
Provider details
- NPI number
- 1104552231
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pardis Tavakolian, President(240) 750-9239
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2041 Pioneer Ct Ste 100
San Mateo, CA 94403-1729
Phone: (240) 750-9239
Street-level locationGet directions
Mailing address
2041 Pioneer Ct Ste 100
San Mateo, CA 94403-1729
Registry dates
- Enumerated
- 2022-07-30
- Last updated
- 2022-11-20
- Certified
- 2022-11-20
Frequently asked questions
- What is Tavakolian DDS, Inc.'s NPI number?
- Tavakolian DDS, Inc.'s National Provider Identifier (NPI) is 1104552231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tavakolian DDS, Inc.?
- Tavakolian DDS, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tavakolian DDS, Inc. located?
- Tavakolian DDS, Inc.'s practice location on file with NPPES is 2041 Pioneer Ct Ste 100, San Mateo, CA 94403-1729.
- What is Tavakolian DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tavakolian DDS, Inc. is (240) 750-9239.
- Who is the authorized official for Tavakolian DDS, Inc.?
- The authorized official listed on Tavakolian DDS, Inc.'s NPPES record is Pardis Tavakolian, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tavakolian DDS, Inc.'s NPI active?
- Yes — Tavakolian DDS, Inc.'s NPI (1104552231) is active in the NPPES registry as of the last update on 2022-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.