Teresa L Poorman, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5646 Issued in NE

Practice address

121 E 31St St
Kearney, NE 68847-3001

Phone

(308) 234-5437

Fax

(308) 234-3169

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Tooth Fairy PC

  • Pediatric Dentistry
  • Kearney, NE
  • NPI 1316203433
  NPD (past) Authorized official
• Pediatric Dental Specialists of Greater Nebraska - Kearney LLC

  • Pediatric Dentistry
  • Kearney, NE
  • NPI 1386339802
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154431591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473001",
            "telephone_number": "308-234-5437",
            "fax_number": "308-234-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473001",
            "telephone_number": "308-234-5437",
            "fax_number": "308-234-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORMAN",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4778072813",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett D Pohlman, M.D.
• Denise L Poland, APRN
• Benjamin Polk
• Robert Polson
• Jennifer Lynn Pool, APRN
• Sherry Poppe
• Abigayle Poppen
• Kiersten Portwine
• Poss Chiropractic LLC
• Casey Galen Poss, DC

• Pediatric Dentistry in Kearney, NE
• Providers in Kearney, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.