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DR. STUART P TENGGREN D.D.S.
NPI 1790867992
Dentist - General Practice in Nipomo, CA

Active since October 19, 2006PECOS Enrolled
255 N WILSON ST STE D, NIPOMO, CA 93444(805) 929-3219 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stuart P Tenggren D.d.s. NPPES

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

DR. STUART P TENGGREN D.D.S. (NPI 1790867992) is an individual general practice provider in Nipomo, California, licensed in California (45780) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790867992
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STUART P TENGGRENCredential: D.D.S.
Location Address255 N WILSON ST STE DNipomo, CA 93444-7830
Mailing Address255 N Wilson St Ste DNipomo, CA 93444-7830 · (805) 929-3219
Phone(805) 929-3219
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1790867992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 45780
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
255 N WILSON ST STE D, Nipomo, CA 93444
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Stuart P Tenggren D.d.s. 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 93444 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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 3

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

NIPOMO DENTAL GROUP OF ANDREW YOUNG DDS INC
Clinic/Center (Dental)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 270-9322
TENGGREN DENTAL CORP
Dentist (General Practice)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3219
KENTON BOSCH DDS
Dentist (General Practice)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3219

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 Stuart Tenggren's NPI number?

The NPI number for Stuart Tenggren is 1790867992. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Stuart Tenggren located?

Stuart Tenggren practices at 255 N Wilson St Ste D, Nipomo, CA 93444. The listed phone number is (805) 929-3219.

What is Stuart Tenggren's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stuart Tenggren enrolled in Medicare?

Yes. Stuart Tenggren is registered in the Medicare PECOS enrollment system.

What insurance does Stuart Tenggren accept?

Health plans from Humana list Stuart Tenggren 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 Stuart Tenggren was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.