Active NPI
Tyler Joe Jenness, DDS
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1598674434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14302738-9926
- Practice address
- 2310 Craven St
San Diego, CA 92136-5596 - Phone
- (161) 955-6824
- NPI assigned
- Sep 4, 2026
- Last updated
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14302738-9926 | UT | Primary |
Addresses
Primary practice location
2310 Craven St
San Diego, CA 92136-5596
Mailing address
2310 Craven St
San Diego, CA 92136-5596
Phone (161) 955-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1598674434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CRAVEN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921365596",
"telephone_number": "161-955-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CRAVEN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921365596",
"telephone_number": "161-955-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNESS",
"first_name": "TYLER",
"middle_name": "JOE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "14302738-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Sarina Renee Jenkins, PHARMD
- Tonya M Jenkins, B.S.
- Michelle Jenks
- Jenna Johnson Family Therapy, Inc.
- Heather R Jenness, RD
- Jennifer Barba Romero (Cali Baja Medical LLC)
- Jennifer C. Wendt, PH.D., Psychological Services, Inc.
- Jennifer G. Shaw, MD, a Professional Corporation
- Jennifer K Chinn OD Apc (Dr. Chinn's Vision Care)
- Jennifer L Davis, MD, Inc (Point Loma Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.