Active NPI
Tederhi Teddy Usude, DDS
- General Practice Dentistry
- Lancaster, CA
National Provider Identifier
1023131455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50387
- Practice address
- 830 W Avenue L Ste 129
Lancaster, CA 93534-7210 - Phone
- (661) 280-0012
- Fax
- (661) 951-1961
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50387 | CA | Primary |
Addresses
Primary practice location
830 W Avenue L Ste 129
Lancaster, CA 93534-7210
Mailing address
26123 Rene Veluzzat Way
Santa Clarita, CA 91321-2187
Phone (661) 951-1925
Other names 1
- Teddy Usude
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50387 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- teddy.usude.p1@direct.csvs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1023131455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26123 RENE VELUZZAT WAY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212187",
"telephone_number": "661-951-1925",
"fax_number": "661-951-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W AVENUE L STE 129",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347210",
"telephone_number": "661-280-0012",
"fax_number": "661-951-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USUDE",
"first_name": "TEDERHI",
"middle_name": "TEDDY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEDDY",
"last_name": "USUDE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.