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DR. DANIEL TEBOUL DDS
NPI 1770617003
Dentist - Periodontics in South Gate, CA

Active since March 16, 2007PECOS Enrolled
4444 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-2444(323) 249-7565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daniel Teboul Dds NPPES

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

DR. DANIEL TEBOUL DDS (NPI 1770617003) is an individual periodontics provider in South Gate, California, licensed in California (49419) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770617003
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DANIEL TEBOULCredential: DDS
Location Address4444 TWEEDY BLVDSouth Gate, CA 90280-6304
Mailing Address107 N Maple DrBeverly Hills, CA 90210-5502 · (323) 564-2444 · Fax (323) 249-7565
Phone(323) 564-2444
Fax(323) 249-7565
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770617003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 49419
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4444 TWEEDY BLVD, South Gate, CA 90280
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Dr. Daniel Teboul Dds 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 90280 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SABINA WIEDERKEHR DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. ANDREW GEOFFREY WIDDIFIELD DMD
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. IRINA MIHAELA TARNAVSKY DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. SIAVASH ZARGARPOUR DDS
Denturist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. RANA RUSHDI KALEEL DDS
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
SCOTT JACKS DDS INC
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. ELEANOR ANTOINETTE SIAZON DDS
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 564-2444
DR. BENJAMIN PHILLIP SAPIR D.D.S.
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 923-2182

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 Daniel Teboul's NPI number?

The NPI number for Daniel Teboul is 1770617003. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Daniel Teboul located?

Daniel Teboul practices at 4444 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 564-2444.

What is Daniel Teboul's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Daniel Teboul enrolled in Medicare?

Yes. Daniel Teboul is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Teboul accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Daniel Teboul 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 Daniel Teboul was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.