Stuart P Tenggren, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45780 Issued in CA

Practice address

255 N Wilson St Ste D
Nipomo, CA 93444-7830

Phone

(805) 929-3219

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tenggren Dental Corp

  • General Practice Dentistry
  • Nipomo, CA
  • NPI 1437231586
  NPD Authorized official
• Nipomo Dental Group of Andrew Young DDS Inc

  • Dental Clinic/Center
  • Nipomo, CA
  • NPI 1134747124
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1790867992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N WILSON ST STE D",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447830",
            "telephone_number": "805-929-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N WILSON ST STE D",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447830",
            "telephone_number": "805-929-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGGREN",
        "first_name": "STUART",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam K. Tabrizi, M.D
• Vartan Tachdjian, MD
• Claire Eileen Tarantino, M.D.
• Denise E Taylor
• Tenggren Dental Corp
• Kristen Thorensen
• Two Palms Family Therapy Inc.
• Melia A Valentine
• Alberta Vega, RDH
• Daniel E Vincent, DC

• General Practice Dentistry in Nipomo, CA
• Providers in Nipomo, 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 Jul 14, 2025; 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.