Joseph P Tesene DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8624 Issued in IA

Legal business name

JOSEPH P TESENE DDS PC

Practice address

4930 SE 14TH St
Des Moines, IA 50320-1604

Phone

(515) 953-6000

Fax

(515) 953-0774

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

James M Persons

Title

Supervisor Provider Relations

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental 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.

• Poojitha Chandrasekhar, DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1962708743
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1629324785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "866-803-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201604",
            "telephone_number": "515-953-6000",
            "fax_number": "515-953-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P TESENE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISOR PROVIDER RELATIONS",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candace Marie Jordan, PHARMD
• Jessica E Jordan, MRSO
• Tammie Jordan, PHARMD
• Amanda Marie Jorgensen-Razor, RN-BC
• Kyle Jorgensen, M.D.
• Fatiah Joseph, MD
• Emma Malone Joss, LMHC
• Joy E Trueblood MD LLC
• Jubba Valley Outreach Inc
• Lisa Juckette

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.