Tenny Balabegian
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Tujunga, CA
NPI 1346530102 · NPPES record last updated May 8, 2015
Key facts
- NPI
- 1346530102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 6190 (NV)
- Practice address
- 10028 Leona St
Tujunga, CA 91042-2535 - Phone
- (818) 399-0550
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116002640 | NV | Order and Referring Only - Other (Physician) |
2567772874 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63243 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenny Balabegian Inc | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6190 | NV | Yes |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 63243 | CA |
Addresses
Primary practice location
10028 Leona St
Tujunga, CA 91042-2535
Mailing address
10028 Leona St
Tujunga, CA 91042-2535
Phone (818) 399-0550
Other providers in Tujunga, CA
- Anet Baghdasarian
- Aida Baghdasaryan
- Edgar Baghdasaryan
- Mariam Baghdasaryan
- Roza Baghdassarian
- Melanie Balabegians
- Lilit Baltaian
- Claude Barakat
- Samim Barakat
- Whitney Barnes
All providers in Tujunga, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.