Peter A Tzendzalian, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7236 Issued in NC

Practice address

3608 Shannon Rd
Suite 205
Durham, NC 27707

Phone

(919) 402-9200

Fax

(919) 287-2525

NPI assigned

Jun 16, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peter a Tzendzalian, DDS, PA

  • Dental Clinic/Center
  • Durham, NC
  • NPI 1184137374
  NPD Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1972508976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 51127",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277171127",
            "telephone_number": "919-402-9200",
            "fax_number": "919-287-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-402-9200",
            "fax_number": "919-287-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZENDZALIAN",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Cenell Tyson, MD
• Jacob Clifford Tyson, DPT
• Mary Amato Tyson, M.D.
• Rachel Tyson
• Kristin Elayne Tzendzalian, PHARMD
• U & I Home Health Care, Inc
• U.P.L.I.F.T. Enrichment Center, Inc.
• Uca Behavioral Support Services, LLC
• Best Ikenna Uchehara
• Andrea Goodrich Udani, M.D.

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.