Teresa Gehret Biggerstaff, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2007-00937 Issued in NC

Practice address

900 Old Winston Rd
Suite 204
Kernersville, NC 27284-9964

Phone

(336) 992-2123

Fax

(336) 992-2330

NPI assigned

Mar 30, 2007

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 15, 2013 through Apr 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teresa G. Biggerstaff, DDS, MD, PA

  dba Advanced Oral & Facial Surgery of the Triad

  • Oral and Maxillofacial Surgery (Dentist)
  • Kernersville, NC
  • NPI 1598013781
  NPD
• DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

  • Oral and Maxillofacial Surgery (Dentist)
  • Bermuda Run, NC
  • NPI 1679203913
  NPD (past)
• DRS. Walter & Ringeman, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1134540347
  NPD (past)
• James M. Walter, Jr, DDS, Ms, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1124070222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1023138435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849964",
            "telephone_number": "336-992-2123",
            "fax_number": "336-992-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849964",
            "telephone_number": "336-992-2123",
            "fax_number": "336-992-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGGERSTAFF",
        "first_name": "TERESA",
        "middle_name": "GEHRET",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "S-332",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "48857",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2007-00937",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "200649",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "2007-00937",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05740",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Medical Center
• Bethany Medical Center PA (Bethany Diagnositc Center)
• Ashlyne Bethea
• Melinda Bethune, PTA
• Chad Betters, PHD
• Amanda Bigness, PHARM D
• Tyler C Bing-Lawson, MSW, LCSWA
• Lesley Claire Birbick
• Charlanne Kathy Biricocchi, DPT
• De Aviona Black

• Oral and Maxillofacial Surgery (Dentist) in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.