Brett A Teran, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019322 Issued in MI

Practice address

113 E Main St
Flushing, MI 48433-2023

Phone

(810) 659-4561

Fax

(810) 213-0216

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• BT Dental PC

  • Dental Clinic/Center
  • Flushing, MI
  • NPI 1487380143
  NPD Authorized official
• Michigan Dental Sleep Center Inc

  • General Practice Dentistry
  • Clio, MI
  • NPI 1376908392
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1063563997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 KNOLLWOOD DR",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628323",
            "telephone_number": "248-343-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E MAIN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332023",
            "telephone_number": "810-659-4561",
            "fax_number": "810-213-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "019322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Beth Taljonick
• Amie Lou Taylor, PHD
• Jessica Taylor
• Manika Taylor
• Chelsee Tebedo
• The Memorial Hospital
• The Root Causation LLC
• Mary Thelen
• Charles Kevin Thomas, MPT
• Mia Renee Thomas

• Dentist in Flushing, MI
• Providers in Flushing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.