Individual provider Active NPI

Kristin Rae Teigen, DDS

  • Dentist
  • Aberdeen, SD
National Provider Identifier
1033296579
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M823 Issued in SD
Practice address
4015 Steele Ave SE
Aberdeen, SD 57401-6148
Phone
(605) 225-0261
Fax
(605) 225-5305
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M823 SD Primary

Addresses

Primary practice location

4015 Steele Ave SE
Aberdeen, SD 57401-6148

Mailing address

4015 Steele Ave SE
Aberdeen, SD 57401-5521
Phone (605) 225-0261

Other identifiers 2

IdentifierTypeStateIssuer
999529OtherNDDENTAL SERVICE CORP OF ND
7801430MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002315 SD Order and Referring Only - DentistPractitioner - Dentist 7315238334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Dental Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1033296579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 STEELE AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015521",
            "telephone_number": "605-225-0261",
            "fax_number": "605-225-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 STEELE AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016148",
            "telephone_number": "605-225-0261",
            "fax_number": "605-225-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIGEN",
        "first_name": "KRISTIN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICE CORP OF ND",
            "identifier": "999529",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801430",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.