Individual provider Active NPI

Xiaofei Teng, DDS

  • General Practice Dentistry
  • Apple Valley, CA
National Provider Identifier
1073096905
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102803 Issued in CA
Practice address
12218 Apple Valley Rd Ste 110
Apple Valley, CA 92308-1704
Phone
(760) 300-3678
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34530 TX
General Practice Dentistry 1223G0001X DDS102803 CA Primary

Addresses

Primary practice location

12218 Apple Valley Rd Ste 110
Apple Valley, CA 92308-1704

Mailing address

14374 Borego Rd Apt 405
Victorville, CA 92392-6911
Phone (214) 616-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20181107003817 CA Order and Referring Only - DentistPractitioner - Dentist 5597019695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS102803CAMDGeneral Practice Dentistry
34530TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stromberg and Shetty Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1073096905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14374 BOREGO RD APT 405",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926911",
            "telephone_number": "214-616-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 APPLE VALLEY RD STE 110",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081704",
            "telephone_number": "760-300-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "XIAOFEI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34530",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.