TEODORO DAVID PENA (NPI# 1104332741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104332741 |
| Entity Type | Individual |
| Full Name | TEODORO DAVID PENA |
| Practice Address |
510 Broadway Ste 4-5 Chula Vista CA 91910 |
| Mailing Address |
510 Broadway Ste 4-5 Chula Vista CA 91910-5306 |
| Practice Telephone | 6194769400 |
| Mailing Telephone | 6194769400 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64509 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1436 Highland Ave., National City, CA 91950 | 6194747417 |
| Street Address |
510 BROADWAY STE 4-5 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1568908820 | Sharon Finley | Assistant Behavior Analyst | 780 Bay Bl, Chula Vista, CA 91910 | 2017-01-11 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371718 | Ri Maroon Dental Group PC | Dentist | 1339 Third Ave, Chula Vista, CA 91911-4302 | 2020-09-22 |
| 1134754625 | Mustafa Khalid Dds Inc. | Dentist | 309 Third Ave, Chula Vista, CA 91910-3910 | 2020-03-05 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1992367411 | Roshni S. Desai | Dentist | 1310 3rd Ave Ste A1, Chula Vista, CA 91911-4371 | 2019-07-04 |
| 1043774854 | Carpio Dental Corporation | Dentist | 1690 Millenia Ave Ste 102, Chula Vista, CA 91915-2889 | 2019-01-25 |
| 1275010670 | Krista Ciarra Schulte | Dentist | 878 Eastlake Pkwy Ste 1511, Chula Vista, CA 91914-4550 | 2018-07-27 |
| 1245749209 | Gina Petrarca | Dentist | 878 Eastlake Pkwy Ste 1151, Chula Vista, CA 91914-4546 | 2017-09-21 |
| 1720505126 | Gilda Bankian | Dentist | 1310 3rd Ave, Chula Vista, CA 91911-4371 | 2017-08-25 |
| 1700238862 | Melissa H Lomahan | Dentist | 310 3rd Ave Ste C1b, Chula Vista, CA 91910-3954 | 2016-07-12 |
| 1356715544 | Myriam Villalpando Falcon | Dentist | 500 E H St Apt 3, Chula Vista, CA 91910-7507 | 2015-11-25 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on TEODORO DAVID PENA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.