Teddy Belgica Eusebio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103242 Issued in CA

Practice address

1242 Park St Ste a
Alameda, CA 94501-5500

Phone

(510) 865-6890

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1043740970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 PARK ST STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015500",
            "telephone_number": "510-865-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 PARK ST STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015500",
            "telephone_number": "510-865-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr Spc 5831",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "TEDDY",
        "middle_name": "BELGICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103242",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTPIN",
            "identifier": "36645932",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTPIN",
            "identifier": "36645932",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Esquivel Hernandez
• Stephanie Elena Esquivel
• Elissa Estrada
• Lisa Eteaki-Lelenoa
• Joseph Belgica Eusebio, DMD, MBA
• Teodoro Espiritu Eusebio, D.M.D.
• Wendy Everard
• Amanda Jean Everett
• Family Dentistry
• Iury Faria Da Silva

• General Practice Dentistry in Alameda, CA
• Providers in Alameda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.