Tendai Dandajena, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7337 Issued in OK

Practice address

6217 S Western Ave
Oklahoma City, OK 73139-1605

Phone

(405) 896-9052

NPI assigned

Jul 2, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1982221271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731010915",
            "telephone_number": "405-314-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391605",
            "telephone_number": "405-896-9052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 NW 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731071902",
            "country_code": "US",
            "telephone_number": "405-463-9986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 SW 104th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731399040",
            "country_code": "US",
            "telephone_number": "405-582-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANDAJENA",
        "first_name": "TENDAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabila Damus
• Jackie L Dan, CRSS
• Robert Andrew Danaher, PSY.D
• Olivia Dancey
• Tarisai C. Dandajena, D.D.S., M.S.
• Dane Libart LCSW LLC
• Alireza Danesh
• Sobhan Daneshfar
• Deanna Huynh Dang
• Doan Ky Dang, PHARM. D

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.