Organization Active NPI

Tena Dental Corporation

  • General Practice Dentistry
  • Baldwin Park, CA
National Provider Identifier
1891802864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48389 Issued in CA
Legal business name
TENA DENTAL CORPORATION
Practice address
14323 E Ramona Blvd
Baldwin Park, CA 91706-3242
Phone
(626) 962-8160
Fax
(626) 962-8170
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ernesto M Tena, DDS
Title
President Owner
Phone
(626) 962-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48389 CA Primary

Addresses

Primary practice location

14323 E Ramona Blvd
Baldwin Park, CA 91706-3242

Mailing address

607 E Arrow Hwy
Azusa, CA 91702
Phone (626) 915-3616

Other names 1

  • Smile Choice Dental Practice of Dr Ernesto M Tena DDA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Choice Dental Practice of Dr Ernesto M Tena Dda2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 E Arrow Hwy
Azusa, CA 91702

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891802864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E ARROW HWY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-915-3616",
            "fax_number": "626-915-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 E RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-962-8160",
            "fax_number": "626-962-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "626-962-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Choice Dental Practice of Dr Ernesto M Tena DDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.