OrganizationActive
Fardad Tayebaty DMD Inc
NPI 1114439015 · Endodontics · Watsonville, CA
Fardad Tayebaty DMD Inc is a Endodontics organization in Watsonville, CA (NPI 1114439015).
Provider details
- NPI number
- 1114439015
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Fardad Tayebaty, President(617) 875-3211
- License
- 100912 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
390 S Green Valley Rd Ste 7
Watsonville, CA 95076-3077
Phone: (831) 536-5880
Street-level locationGet directions
Mailing address
5700 Village Oaks Dr Apt 1408
San Jose, CA 95123-3778
Registry dates
- Enumerated
- 2017-10-31
- Last updated
- 2017-10-31
Frequently asked questions
- What is Fardad Tayebaty DMD Inc's NPI number?
- Fardad Tayebaty DMD Inc's National Provider Identifier (NPI) is 1114439015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fardad Tayebaty DMD Inc?
- Fardad Tayebaty DMD Inc is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Fardad Tayebaty DMD Inc located?
- Fardad Tayebaty DMD Inc's practice location on file with NPPES is 390 S Green Valley Rd Ste 7, Watsonville, CA 95076-3077.
- What is Fardad Tayebaty DMD Inc's phone number?
- The practice phone number listed in the NPPES registry for Fardad Tayebaty DMD Inc is (831) 536-5880.
- Who is the authorized official for Fardad Tayebaty DMD Inc?
- The authorized official listed on Fardad Tayebaty DMD Inc's NPPES record is Fardad Tayebaty, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fardad Tayebaty DMD Inc's NPI active?
- Yes — Fardad Tayebaty DMD Inc's NPI (1114439015) is active in the NPPES registry as of the last update on 2017-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.