Tristan Mendoza DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59736 Issued in CA

Legal business name

TRISTAN MENDOZA DDS INC

Practice address

1849 Willow Pass Rd
Suite 400
Concord, CA 94520-2524

Phone

(925) 825-1081

Fax

(925) 825-1094

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tristan E Mendoza, DDS

Title

Owner

Phone

(925) 825-1081

Specialties & licenses 1

Addresses

Other names 1

• Healing Hands Dental Group Doing business as

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1659772408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD",
            "address_2": "SUITE 400",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202524",
            "telephone_number": "925-825-1081",
            "fax_number": "925-825-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD",
            "address_2": "SUITE 400",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202524",
            "telephone_number": "925-825-1081",
            "fax_number": "925-825-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN MENDOZA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-825-1081",
        "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": "59736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katlyn Angelia Trigo
• Naresh Trikha
• Lilyann Trinh-Nguyen
• Sydney Trinh
• Trinity Medical Transportation, LLC
• Juhi Trivedi, BCBA
• Tori Elizabeth Tropf
• Colette Elaine Trotter
• Marcuz N Trottot
• Allyson Sharmin Troxel-Galang, MA

• General Practice Dentistry in Concord, CA
• Providers in Concord, 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 Sep 11, 2014; 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.