Skip to content

Pantea Tavakoli-Khazraee, DDS

NPI 1033229091ActiveIndividual· Dentist· Port Orange, FL

Dentist (DDS) in Port Orange, Florida, licensed in FL, with an NPI issued in August 2006. Part D covered 54 prescriptions written in 2024, 67% of them generic.

Overview

NPI1033229091
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedAug 30, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDN13936FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)54 · 59 30-day fills
Patients26
Total drug cost$621.82
Generic share67% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Port Orange

All 29 dentists in Port Orange · All dentists in Florida