Alan Jayson Tengonciang, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61480 Issued in CA

Practice address

3737 Moraga Ave Ste B313
San Diego, CA 92117-5481

Phone

(858) 270-2760

NPI assigned

Sep 24, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 16, 2016 through May 16, 2028

Medicare enrollment (NPD)

Not 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.

• A. Jayson Tengonciang, DMD, Inc

  • Endodontics
  • San Diego, CA
  • NPI 1154685030
  NPD (past) Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1851541031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175481",
            "telephone_number": "858-270-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175481",
            "telephone_number": "858-270-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGONCIANG",
        "first_name": "ALAN",
        "middle_name": "JAYSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "61480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Loving Care Health Care Services Western, LLC (Amedisys Home Health Care)
• Joseph B Tenenbaum, MD
• Mayer Tenenhaus, M.D.
• Hongyu Teng, M.D.
• Jaja Teng, PHARM.D
• Gloria J Tengonciang, D.M.D
• Sofie Isabella Tennis
• Anna Tennison
• Shawn Tenny
• Alexander Tenorio

• Endodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.