Individual provider Active NPI

Dafna Tendrih, DMD

  • Dentist
  • Arroyo Grande, CA
National Provider Identifier
1659728947
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100566 Issued in CA
Practice address
194 Ruth Ann Way
Arroyo Grande, CA 93420-2459
Phone
(917) 238-2618
NPI assigned
May 17, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100566 CA Primary

Addresses

Primary practice location

194 Ruth Ann Way
Arroyo Grande, CA 93420-2459

Mailing address

194 Ruth Ann Way
Arroyo Grande, CA 93420-2459
Phone (917) 238-2618

Other names 1

  • Dafna Milsztajn Professional name

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

State licenses

LicenseStateTypeSpecialty
100566CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1659728947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 RUTH ANN WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202459",
            "telephone_number": "917-238-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 RUTH ANN WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202459",
            "telephone_number": "917-238-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDRIH",
        "first_name": "DAFNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAFNA",
            "last_name": "MILSZTAJN",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.