Individual provider Active NPI

Tal Dean Jergensen, D.D.S.

  • Dentist
  • Temecula, CA
National Provider Identifier
1285749168
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40621 Issued in CA
Practice address
43980 Margarita Rd Ste 101
Temecula, CA 92592-2783
Phone
(951) 693-9373
Fax
(951) 699-9337
NPI assigned
Aug 20, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 40621 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 40621 CA Primary

Addresses

Primary practice location

43980 Margarita Rd Ste 101
Temecula, CA 92592-2783

Mailing address

27492 Tierra Verde Dr
Hemet, CA 92544-8480
Phone (951) 306-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40621CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tal D. Jergensen, DDS Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jul 24, 2022 Accepting new patients

Locations

550 E Latham Ave
Ste 3
Hemet, CA 92543
Phone (951) 693-9373

43980 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 331-3237

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1285749168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27492 TIERRA VERDE DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448480",
            "telephone_number": "951-306-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43980 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922783",
            "telephone_number": "951-693-9373",
            "fax_number": "951-699-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERGENSEN",
        "first_name": "TAL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40621",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.