Individual provider Active NPI

Evelyn Jean Teruel, DMD

  • Dentist
  • Powell, TN
National Provider Identifier
1174419360
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12804 Issued in TN
Practice address
7315 Clinton Hwy
Powell, TN 37849-5225
Phone
(865) 509-8782
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12804 TN Primary

Addresses

Primary practice location

7315 Clinton Hwy
Powell, TN 37849-5225

Mailing address

1534 Greenbrier Ridge Way Apt 1507
Knoxville, TN 37909-3397
Phone (864) 354-1311

Other names 1

  • Evie Haasbroek Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12804TNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1174419360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 GREENBRIER RIDGE WAY APT 1507",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093397",
            "telephone_number": "864-354-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 CLINTON HWY",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495225",
            "telephone_number": "865-509-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERUEL",
        "first_name": "EVELYN",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVIE",
            "last_name": "HAASBROEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.