Healthcare Provider Details

I. General information

NPI: 1104217199
Provider Name (Legal Business Name): TAPIA DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SOLAR DR STE 290
OXNARD CA
93030-0155
US

IV. Provider business mailing address

1801 SOLAR DR STE 290
OXNARD CA
93030-0155
US

V. Phone/Fax

Practice location:
  • Phone: 310-454-0912
  • Fax: 805-278-8837
Mailing address:
  • Phone: 310-454-0912
  • Fax: 805-278-8837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number49226
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number51154
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA ELENA TAPIA
Title or Position: OWNER
Credential: DDS
Phone: 805-278-8887