Terani Rose Harris, RDH, DT, ADT

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

DT69 Issued in MN

Practice address

601 Highway 73
Floodwood, MN 55736-8450

Phone

(218) 476-2969

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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.

• Dental Associates-Esko, Incorporated PC

  • General Practice Dentistry
  • Esko, MN
  • NPI 1013081736
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1164706347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 SILVER FOX CIR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115834",
            "telephone_number": "218-428-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 73",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "557368450",
            "telephone_number": "218-476-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W Highway 61",
            "address_purpose": "LOCATION",
            "city": "Esko",
            "state": "MN",
            "postal_code": "557339701",
            "country_code": "US",
            "telephone_number": "218-879-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERANI",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RDH, DT, ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "11055-016",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H8920",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT69",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floodwood Area Emergency Medical
• Floodwood Area Emergency Medical Serv District
• Floodwood Services & Training, Inc.
• Joseph Adam Gregorich, DDS
• Brenda Jean Hansen
• Ind School Dist 698
• Neil Raymond Johnson
• Clayton Albin Lewandowski, DDS
• Northland Neurology and Myology PA
• Heidi Jean Schminski, APRN, CNP

• Advanced Practice Dental Therapist in Floodwood, MN
• Providers in Floodwood, MN by specialty
• Advanced Practice Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.