Richard H Teteak

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001914 Issued in WI

Practice address

502 River PL
Monona, WI 53716-4033

Phone

(608) 222-9146

Fax

(608) 222-8164

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Monona Dental II, LLC

  • Dentist
  • Monona, WI
  • NPI 1033542949
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104944008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 MAYWOOD RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537162525",
            "telephone_number": "608-222-9146",
            "fax_number": "608-222-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RIVER PL",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164033",
            "telephone_number": "608-222-9146",
            "fax_number": "608-222-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETEAK",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tellurian, Inc.
• Tellurian, Inc.
• Tellurian, Inc.
• Tellurian, Inc.
• Terri O'Donnell LPC Sasa LLC
• PA Nyia Thao
• Ann Elizabeth Thompson
• James Allen Thompson, M.S., LPC, CSAC
• Laura M Tills, DDS
• Gurkirat Toor

• General Practice Dentistry in Monona, WI
• Providers in Monona, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.