Individual provider Active NPI

Suzanne B Tulenko, D.M.D.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1992863948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39494 Issued in CA
Practice address
235 F St
Chula Vista, CA 91910-2801
Phone
(619) 585-1995
Fax
(619) 585-1997
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39494 CA Primary

Addresses

Primary practice location

235 F St
Chula Vista, CA 91910-2801

Mailing address

235 F St
Chula Vista, CA 91910-2801
Phone (619) 585-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39494CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992863948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102801",
            "telephone_number": "619-585-1995",
            "fax_number": "619-585-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102801",
            "telephone_number": "619-585-1995",
            "fax_number": "619-585-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULENKO",
        "first_name": "SUZANNE",
        "middle_name": "B",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.