Individual provider Active NPI

Tenny Balabegian

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tujunga, CA
National Provider Identifier
1346530102
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6190 Issued in NV
Practice address
10028 Leona St
Tujunga, CA 91042-2535
Phone
(818) 399-0550
NPI assigned
Apr 13, 2011
Last updated
May 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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 6190 NV Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20151116002640 NV Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567772874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63243CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tenny Balabegian Inc Orthodontics and Dentofacial Orthopedics Current Accepting new patients

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1346530102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 LEONA ST",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422535",
            "telephone_number": "818-399-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 LEONA ST",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422535",
            "telephone_number": "818-399-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALABEGIAN",
        "first_name": "TENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "6190",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tujunga, CA

Sources for this page

Verify at the official NPI Registry.