Terri De la Pena, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

575 Issued in CA

Practice address

10011 Shaggybark Dr
Santee, CA 92071-1136

Phone

(619) 316-9319

Fax

(866) 316-9391

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Terri O'Connor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1851774186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 SHAGGYBARK DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711136",
            "telephone_number": "619-316-9319",
            "fax_number": "866-316-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 SHAGGYBARK DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711136",
            "telephone_number": "619-316-9319",
            "fax_number": "866-316-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "TERRI",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "O'CONNOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas M Daub, MD
• Daubmd Inc
• Kurt John Davies, PA-C
• Joshua Kyle Dayrit
• Dawn Marie Kim De Castro-Marceau, M.D.
• Alyssa Delada
• Erika Delgado
• Ray Simon Francisco Delos Reyes
• Neil Denaut II
• Wendy Susan Dengerink, M.D.

• Advanced Practice Dental Therapist in Santee, CA
• Providers in Santee, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.