THEODORA TRIPHON DDS
NPI 1871090720
Dentist - Orthodontics and Dentofacial Orthopedics in Tustin, CA

Active since April 08, 2018PECOS Enrolled
13297 JAMBOREE RD, TUSTIN, CA 92782(714) 730-6600(951) 776-1571 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2024, Aug 15, 2019 (2 updates tracked since 2019).

About Theodora Triphon Dds NPPES

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

THEODORA TRIPHON DDS (NPI 1871090720) is an individual orthodontics and dentofacial orthopedics provider in Tustin, California, licensed in California (104188) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1871090720
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameTHEODORA TRIPHONCredential: DDS
Location Address13297 JAMBOREE RDTustin, CA 92782-9159
Mailing Address13297 Jamboree RdTustin, CA 92782-9159 · (714) 730-6600 · Fax (951) 776-1751
Fax(951) 776-1571
Sole ProprietorYes
Enumeration DateApril 8, 2018
Last NPPES UpdateJune 23, 20242 updates tracked since enumeration
NPPES CertifiedJune 23, 2024
NPI 1871090720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 104188
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 104188 (CA)
13297 JAMBOREE RD, Tustin, CA 92782

Other Names 1

Other Name (5)Teddi Triphon Dds

Secondary Practice Locations 5

Location 11130 N Pepper Ave Ste CColton, CA 92324-6717 · Phone (909) 422-0007 · Fax (951) 776-1571
Location 21810 Fullerton Ave Ste 202Corona, CA 92881-3109 · Phone (951) 736-5700 · Fax (951) 776-1571
Location 331577 Canyon Estates Dr Ste 215Lake Elsinore, CA 92532-0473 · Phone (951) 471-0194 · Fax (951) 776-1571
Location 418876 Van Buren Blvd Ste 200Riverside, CA 92508-9114 · Phone (951) 776-1376 · Fax (951) 776-1571
Location 5136 W Nuevo Rd Ste GPerris, CA 92571-0859 · Phone (951) 943-0666 · Fax (951) 776-1571

Accepted 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)

Theodora Triphon 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 92782 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 4

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

Dentist (Orthodontics and Dentofacial Orthopedics)
13297 JAMBOREE RD
TUSTIN, CA 92782
Dentist (Orthodontics and Dentofacial Orthopedics)
13297 JAMBOREE RD
TUSTIN, CA 92782
Dentist (Orthodontics and Dentofacial Orthopedics)
13297 JAMBOREE RD
TUSTIN, CA 92782
Dentist (Orthodontics and Dentofacial Orthopedics)
13297 JAMBOREE RD
TUSTIN, CA 92782

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 Theodora Triphon's NPI number?

The NPI number for Theodora Triphon is 1871090720. It was assigned to this individual provider in the NPPES registry on April 8, 2018. The provider is also known as Teddi Triphon Dds.

Where is Theodora Triphon located?

Theodora Triphon practices at 13297 Jamboree Rd, Tustin, CA 92782. The listed phone number is (714) 730-6600.

What is Theodora Triphon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Theodora Triphon enrolled in Medicare?

Yes. Theodora Triphon is registered in the Medicare PECOS enrollment system.

What insurance does Theodora Triphon 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 Theodora Triphon 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 Theodora Triphon was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.