Reydesel Tena, DA, X-RAY LICENSED

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

44558 10TH St W
Lancaster, CA 93534-3333

Phone

(661) 723-1111

NPI assigned

Mar 12, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Family Dental Care

  • Dental Laboratory
  • Lancaster, CA
  • NPI 1093126278
  NPD (past)
• Farid Pakravan Professional Dental Corporation

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1922283936
  NPD (past)

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299888000000",
    "number": "1417255654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 E AVENUE R2",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935505342",
            "telephone_number": "661-433-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44558 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343333",
            "telephone_number": "661-723-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENA",
        "first_name": "REYDESEL",
        "credential": "DA, X-RAY LICENSED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-12",
        "last_updated": "2011-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Cheryl Tejada
• Marisol Nelly Tejeda Alvarado
• Elizabeth Tejeda-Gomez
• Margarita Tejeda
• Tamding Tempo, M.D., INC.
• Gregory Tennant, D.O.
• Jose Calvillo Teodores Sr.
• Jennifer Leigh Termeer, MD
• Terner Health
• Terri Henry, M.D., Inc

• Dental Assistant in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; 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.