Tiffany Marie Teegarden, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2013016361 Issued in MO

Practice address

1215 N 7 Hwy
Blue Springs, MO 64014-2281

Phone

(816) 427-1164

NPI assigned

Jun 11, 2013

Sex

Female

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 TX

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

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.

• Eric J Runyon DDS LLC

  • General Practice Dentistry
  • Belton, MO
  • NPI 1093539892
  NPD (past)
• Smiles Unlimited, LLC

  • General Practice Dentistry
  • Belton, MO
  • NPI 1134520570
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1104264266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 SE COLONIAL DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145499",
            "telephone_number": "620-770-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142281",
            "telephone_number": "816-427-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 NE Lawrie Tatum Rd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735073002",
            "country_code": "US",
            "telephone_number": "580-354-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Congress St",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "640122480",
            "country_code": "US",
            "telephone_number": "816-331-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 SE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640632759",
            "country_code": "US",
            "telephone_number": "816-524-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEGARDEN",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013016361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohsen Tahani, MD
• Robert Tahani, DMD
• Tara Yardley LPC LLC
• Sarah Elizabeth Taylor, PT
• Jacqueline D Tebeest, FNP
• Kyle Temple, RPH
• Sandra Tharp
• Christina Fontaine Thomas, APRN
• Clinton Earl Thomas, L.P.C.
• Mary Thomas

• Dentist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.