TEODORO DAVID PENA
NPI 1104332741
Dentist in Chula Vista, CA

Q: What is Teodoro Pena's NPI number?

The NPI number for Teodoro Pena is 1104332741. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Q: What is Teodoro Pena's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Teodoro Pena was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2017PECOS Enrolled

510 BROADWAY STE 4-5, CHULA VISTA, CA 91910(619) 476-9400 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teodoro David Pena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEODORO DAVID PENA (NPI 1104332741) is an individual dentist in Chula Vista, California, licensed in California (64509) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in National City.

NPPES Registry Identity

NPI1104332741

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTEODORO DAVID PENA

Location Address510 BROADWAY STE 4-5Chula Vista, CA 91910

Mailing Address510 Broadway Ste 4-5Chula Vista, CA 91910-5306 · (619) 476-9400

Phone(619) 476-9400

Sole ProprietorNo

Enumeration DateDecember 19, 2017

Last NPPES UpdateJune 4, 2018

✔ NPI 1104332741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 64509

Definition

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.

510 BROADWAY STE 4-5, Chula Vista, CA 91910

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Secondary Practice Location 1

Location 11436 HIghland Ave.National City, CA 91950 · Phone (619) 474-7417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teodoro David Pena is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teodoro Pena's NPI number?

The NPI number for Teodoro Pena is 1104332741. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Teodoro Pena located?

Teodoro Pena practices at 510 Broadway Ste 4-5, Chula Vista, CA 91910. The listed phone number is (619) 476-9400.

What is Teodoro Pena's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Teodoro Pena enrolled in Medicare?

Yes. Teodoro Pena is registered in the Medicare PECOS enrollment system.

What insurance does Teodoro Pena accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Teodoro Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teodoro Pena was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.