Tejdeep Rattan D.D.S Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEJDEEP RATTAN D.D.S INC.

Doing business as

Innovo Dental and Implant Studio

Practice address

1376 Concannon Blvd
Livermore, CA 94550-6004

Phone

(937) 369-7843

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Tejdeep Rattan, DDSNPI 1699095505

Title

Ceo/President

Phone

(937) 369-7843

Specialties & licenses 1

Addresses

Other names 1

• Innovo Dental and Implant Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejdeep Singh Rattan, DDS

  • Dentist
  • Mountain House, CA
  • NPI 1699095505
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1558053116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S FULTON ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953911402",
            "telephone_number": "937-369-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "937-369-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJDEEP RATTAN D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "RATTAN",
        "authorized_official_first_name": "TEJDEEP",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-369-7843",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovo Dental and Implant Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Tang
• Tassajara Valley Medical Group PC
• Aimee Taylor
• Lynsey Taylor, CMT
• Tiffany Michelle Tchang, OTR/L
• Gary Teng
• Patricia Tenold, MD, MPH
• Connie Elizabeth Teresi, M.D.
• Crystal Thao, LCSW
• Leonne Thatcher

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.