Rose Joy Tejada Endonila

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44867 Issued in CA

Practice address

1803 Monument Blvd
Ste# 3F
Concord, CA 94520-3874

Phone

(925) 726-2477

Fax

(925) 726-2479

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rose Joy Gomez Tejada Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093836868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MONUMENT BLVD",
            "address_2": "STE# 3F",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203874",
            "telephone_number": "925-726-2477",
            "fax_number": "925-726-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MONUMENT BLVD",
            "address_2": "STE# 3F",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203874",
            "telephone_number": "925-726-2477",
            "fax_number": "925-726-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDONILA",
        "first_name": "ROSE JOY",
        "middle_name": "TEJADA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE JOY",
            "last_name": "TEJADA",
            "middle_name": "GOMEZ",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Ely, MS, ATC, CSCS
• Embrace
• Owen Emigh
• Theo Emmers
• Julio Enciso
• Savannah Shea Enella
• Aicelle Kate Enerio
• Magdalena Eneva
• Collis Englent I, M.S
• River Daltin Englert

• General Practice Dentistry in Concord, CA
• Providers in Concord, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.