Active NPI
Dianne Viktoria Tejero Torres, DMD, DDS
- Dentist
- Auburn, CA
National Provider Identifier
1275422917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111609
- Practice address
- 11670 Atwood Rd
Auburn, CA 95603-9522 - Phone
- (530) 887-2800
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111609 | CA | Primary |
Addresses
Primary practice location
11670 Atwood Rd
Auburn, CA 95603-9522
Mailing address
3020 Ridgecrest Dr
Lincoln, CA 95648-7877
Phone (408) 614-6715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820004081 | CA | Order and Referring Only - Dentist | 6709386279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111609 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1275422917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 RIDGECREST DR",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956487877",
"telephone_number": "408-614-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 ATWOOD RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039522",
"telephone_number": "530-887-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "DIANNE VIKTORIA",
"middle_name": "TEJERO",
"credential": "DMD, DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.