IndividualActive
Jesus Piceno
NPI 1104556265 · General Practice Dentistry · Tujuana
Jesus Piceno is a General Practice Dentistry provider in Tujuana (NPI 1104556265).
Provider details
- NPI number
- 1104556265
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2964484 (ZZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Calle 6ta #2245 1a
Tujuana, 22000
Phone: (619) 864-2022
Mailing address
3506 Beyer Blvd Apt 203
San Ysidro, CA 92173-1308
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Frequently asked questions
- What is Jesus Piceno's NPI number?
- Jesus Piceno's National Provider Identifier (NPI) is 1104556265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesus Piceno's specialty?
- Jesus Piceno is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jesus Piceno located?
- Jesus Piceno's practice location on file with NPPES is Calle 6ta #2245 1a, Tujuana, 22000.
- What is Jesus Piceno's phone number?
- The practice phone number listed in the NPPES registry for Jesus Piceno is (619) 864-2022.
- Is Jesus Piceno's NPI active?
- Yes — Jesus Piceno's NPI (1104556265) is active in the NPPES registry as of the last update on 2022-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.