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Michelle Ta, DMD
NPI 1124643739 · Pediatric Dentistry · San Rafael, CA
Michelle Ta, DMD is a Pediatric Dentistry provider in San Rafael, CA (NPI 1124643739).
Provider details
- NPI number
- 1124643739
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DDS104671 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
912 Grand Ave Ste 202
San Rafael, CA 94901-3552
Phone: (408) 717-0888
Street-level locationGet directions
Mailing address
77 Tennant Ave
San Jose, CA 95138-1851
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Frequently asked questions
- What is Michelle Ta's NPI number?
- Michelle Ta's National Provider Identifier (NPI) is 1124643739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Ta's specialty?
- Michelle Ta is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Michelle Ta located?
- Michelle Ta's practice location on file with NPPES is 912 Grand Ave Ste 202, San Rafael, CA 94901-3552.
- What is Michelle Ta's phone number?
- The practice phone number listed in the NPPES registry for Michelle Ta is (408) 717-0888.
- Is Michelle Ta's NPI active?
- Yes — Michelle Ta's NPI (1124643739) is active in the NPPES registry as of the last update on 2020-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.