Evelyn R. Tejeda, D.M.D P.C

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

046830 Issued in NY

Legal business name

EVELYN R. TEJEDA, D.M.D P.C

Practice address

629 W 185TH St
4TH Floor
New York, NY 10033-3102

Phone

(212) 568-0558

Fax

(212) 543-2503

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Evelyn R Tejeda, D.M.D

Title

Physician

Phone

(914) 420-7941

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1225216229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LOCUST AVE",
            "address_2": "STE B307",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017361",
            "telephone_number": "212-568-0558",
            "fax_number": "212-543-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-568-0558",
            "fax_number": "212-543-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN R. TEJEDA, D.M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-420-7941",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02207541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve and Steve Pharmacy
• Elizabeth Eve, DMD, MS
• Matthew Christian Eveleth, MD
• Eveline Erni, Physical Therapy
• Michaela Evelkin, OTR/L
• Grettle Agnes Evelyn, NP
• Neer Even-Hen, D.M.D.
• Jeanne Even
• Aidan Bryce Evens, LMSW
• Eventide Logos LLC

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.