Active NPI
Daravey Teng
- Dental Assistant
- Los Angeles, CA
National Provider Identifier
1043684665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 81380
- Practice address
- 8537 Alcott St Apt 1
Los Angeles, CA 90035-3653 - Phone
- (209) 405-9982
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 81380 | CA | Primary |
Addresses
Primary practice location
8537 Alcott St Apt 1
Los Angeles, CA 90035-3653
Mailing address
8537 Alcott Street #1
Los Angeles, CA 90035
Phone (209) 405-9982
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 |
|---|---|---|---|
| 81380 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1043684665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8537 ALCOTT STREET #1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90035",
"telephone_number": "209-405-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8537 ALCOTT ST APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900353653",
"telephone_number": "209-405-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENG",
"first_name": "DARAVEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "81380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.