Asmeret Tesfahun, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13108 Issued in MN

Practice address

450 Syndicate St N Suite 300
Healthpartners Midway Dental Clinic
St. Paul, MN 55104-4107

Phone

(651) 254-7373

Fax

(651) 254-7383

NPI assigned

Apr 17, 2012

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 WA

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

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1144587080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SYNDICATE ST N SUITE 300",
            "address_2": "HEALTHPARTNERS MIDWAY DENTAL CLINIC",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551044107",
            "telephone_number": "651-254-7373",
            "fax_number": "651-254-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SYNDICATE ST N SUITE 300",
            "address_2": "HEALTHPARTNERS MIDWAY DENTAL CLINIC",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551044107",
            "telephone_number": "651-254-7373",
            "fax_number": "651-254-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAHUN",
        "first_name": "ASMERET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexi Mae Ternes, RN
• Terra Firma Wellness
• Terra Sorg LLC
• Charles George Terzian, MD
• Dawit Kahsai Tesfagiorgis, RN
• Omega Tesfamariam
• Daniel Tesfaye
• Mahilet Tesfaye
• Dylan Mathew Teske, DC
• Rachel Kristine Teslow, OTD, OTR/L

• Dentist in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.