Teena Wali, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16614 Issued in MD

Practice address

1281 E la Habra Blvd
La Habra, CA 90631-5600

Phone

(562) 697-3788

NPI assigned

Feb 24, 2011

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teena Wali DDS Inc

  dba Dental

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1952136459
  NPD Authorized official
• Cpap Gone PLLC

  • Customized Equipment (DME)
  • Plano, TX
  • NPI 1376091470
  Authorized official Same address or phone
• Healthy Dental of Baltimore LLC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1528626447
  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1699072892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 DANA PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311216",
            "telephone_number": "412-298-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315600",
            "telephone_number": "562-697-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALI",
        "first_name": "TEENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107082",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038418",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom T Vu, DMD
• Wal-Mart Stores, Inc. (Vision Center 30-3248)
• Wayne Ira Walburn, DC
• Walgreen Co (Walgreens #03747)
• Walgreen Co (Walgreens #05672)
• Walmart Inc. (WalMart Pharmacy 10-5641)
• Walmart Inc. (Walmart Pharmacy 10-3248)
• Walter Jayasinghe M.D. a Professional Corp (Los Angeles Medical Center)
• Susan Jene Wang, DDS
• Catherine Ward

• Dentist in La Habra, CA
• Providers in La Habra, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.