Kirsten A. Teresi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 22047 Issued in FL

Practice address

36207 E Lake Rd
Palm Harbor, FL 34685-3143

Phone

(727) 787-9696

NPI assigned

Jul 6, 2016

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 FL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfortable Care Dental Health Professionals, P.a.

  dba Brooker Creek Dental Group

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1114317294
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1124470877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36207 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36207 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853143",
            "telephone_number": "727-787-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERESI",
        "first_name": "KIRSTEN",
        "middle_name": "A.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TB Eye Care PA (InnoVision)
• Tbi Residential Services, Inc. (Doc's Resort)
• Telehealth Physician Services, LLC
• Noel Tenenbaum, M.D.
• Dedra Rene Tentis, MSW
• Terrann Sokolowski Aprn
• Terri Pendleton,Inc
• Molly Jean Terry, LMHC
• Alona Teslenko, MD
• Alessia Thacker, RD

• General Practice Dentistry in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.