NPIMap

Organization Active NPI

Tenggren Dental Corp

  • General Practice Dentistry
  • Nipomo, CA
National Provider Identifier
1437231586
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45780 Issued in CA
Legal business name
TENGGREN DENTAL CORP
Practice address
255 N Wilson St Ste D
Nipomo, CA 93444-7830
Phone
(805) 929-3219
Fax
(805) 929-4798
NPI assigned
Oct 19, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Dr. Stuart P Tenggren, DDSNPI 1790867992
Title
President
Phone
(805) 217-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45780 CA Primary

Addresses

Primary practice location

255 N Wilson St Ste D
Nipomo, CA 93444-7830

Mailing address

7349 Rocky Top Cir
Moorpark, CA 93021-1299
Phone (805) 217-8138

National Provider Directory

National Provider Directory

Locations

255 N Wilson St
Ste D
Nipomo, CA 93444
Phone (805) 270-9322

1105 Red Tail Way
Simi Valley, CA 93065
Phone (805) 577-7733

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1437231586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 ROCKY TOP CIR",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211299",
            "telephone_number": "805-217-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N WILSON ST STE D",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447830",
            "telephone_number": "805-929-3219",
            "fax_number": "805-929-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENGGREN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "TENGGREN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-217-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.