Tejas Modi DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D 47131 Issued in CA

Legal business name

TEJAS MODI DDS INC

Practice address

75 W Nuevo Rd Ste a&B
Perris, CA 92571

Phone

(951) 657-1203

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Tejas ModiNPI 1912007600

Title

President

Phone

(951) 657-1203

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejas K Modi, DDS

  • Dentist
  • Perris, CA
  • NPI 1912007600
  NPD Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1134329030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W. NUEVO RD, SUITE A & B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925710801",
            "telephone_number": "951-657-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W NUEVO RD STE A&B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92571",
            "telephone_number": "951-657-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAS MODI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-657-1203"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D50823",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D36129",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D43182",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D54136",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D 47131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taniya Sweeney
• Venus Eugenio Tanzo
• Diana Carolina Tapia, LMFT
• Alejandra Tavarez
• Youssef Tawfik, RN
• Ana K Tejeda, LVN
• Telecare
• Telecare Corporation
• Natalie Tellez
• Anthony R Teran, RN

• General Practice Dentistry in Perris, CA
• Providers in Perris, 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 Aug 22, 2018; 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.