Teodoro Pena
NPI 1104332741 · Dentist · Chula Vista, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teodoro Pena is a Dentist provider in Chula Vista, CA (NPI 1104332741).
Provider details
- NPI number
- 1104332741
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 64509 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1436 Highland Ave.National City, CA 91950Phone: (619) 474-7417
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2018-06-04
Frequently asked questions
- What is Teodoro Pena's NPI number?
- Teodoro Pena's National Provider Identifier (NPI) is 1104332741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teodoro Pena's specialty?
- Teodoro Pena is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Teodoro Pena located?
- Teodoro Pena's practice location on file with NPPES is 510 Broadway Ste 4-5, Chula Vista, CA 91910.
- What is Teodoro Pena's phone number?
- The practice phone number listed in the NPPES registry for Teodoro Pena is (619) 476-9400.
- Does Teodoro Pena accept Medicare?
- Teodoro Pena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Teodoro Pena's NPI active?
- Yes — Teodoro Pena's NPI (1104332741) is active in the NPPES registry as of the last update on 2018-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.