Mehboob Teja, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16797 Issued in TX

Practice address

4331 College Hills Blvd
San Angelo, TX 76904-6919

Phone

(325) 223-2373

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1235342965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 COLLEGE HILLS BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046919",
            "telephone_number": "325-223-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 COLLEGE HILLS BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046919",
            "telephone_number": "325-223-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJA",
        "first_name": "MEHBOOB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111037103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca C Taylor, CNS
• Shook-Ming Taylor, D.O.
• Ann-Maree Tedaldi, DPT, PHD
• April Rene Tedford, REGISTERED NURSE
• Meghan Ashley Teel
• Christina Ann Templin, PHARMD., RPH
• Samantha Ten Brink
• Texas Cardiac Arrhythmia
• Texas Cardiovascular Consultants-San Angelo, PA
• Texas Cardiovascular Consultants, PA

• General Practice Dentistry in San Angelo, TX
• Providers in San Angelo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.