Active NPI
Tena Dental Corporation
- General Practice Dentistry
- La Puente, CA
National Provider Identifier
1194909002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48389
- Legal business name
- TENA DENTAL CORPORATION
- Practice address
- 525 S Azusa Way
La Puente, CA 91744-5113 - Phone
- (626) 810-0045
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ernersto M Tena, DDS
- Title
- Owner
- Phone
- (626) 810-0045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48389 | CA | Primary |
Addresses
Primary practice location
525 S Azusa Way
La Puente, CA 91744-5113
Mailing address
525 S Azusa Way
La Puente, CA 91744-5113
Phone (626) 810-0045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93496-02 | Other | CA | DENTICAL |
National Provider Directory
National Provider Directory- Tax ID family
- Smile Choice Dental Practice of Dr Ernesto M Tena Dda
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Baldwin Park, CA
- NPI 1891802864
Locations
525 S Azusa Way
La Puente, CA 91744
Phone (626) 810-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1194909002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S AZUSA WAY",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445113",
"telephone_number": "626-810-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S AZUSA WAY",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445113",
"telephone_number": "626-810-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "TENA",
"authorized_official_first_name": "ERNERSTO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-810-0045",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G93496-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.