Individual provider Active NPI

Tinou T Roncone

  • Periodontics
  • Temecula, CA
National Provider Identifier
1689600942
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
43567 Issued in CA
Practice address
32140 US Highway 79 S
Ste. 201
Temecula, CA 92592-3899
Phone
(951) 302-6385
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 43567 CA Primary

Addresses

Primary practice location

32140 US Highway 79 S
Ste. 201
Temecula, CA 92592-3899

Mailing address

31493 Rancho Pueblo Rd
Ste. 101
Temecula, CA 92592-4832
Phone (951) 302-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219000623 CA Practitioner - DentistPractitioner - Oral Surgery 8224345863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1689600942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD",
            "address_2": "STE. 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924832",
            "telephone_number": "951-302-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32140 US HIGHWAY 79 S",
            "address_2": "STE. 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923899",
            "telephone_number": "951-302-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCONE",
        "first_name": "TINOU",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.