Active NPI
Teri Jeannien Bianchi, D.D.S.
- Dentist
- Lake Sherwood, CA
National Provider Identifier
1184766784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42722
- Practice address
- 310 Upper Lake Rd
Lake Sherwood, CA 91361 - Phone
- (805) 427-6033
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42722 | CA | Primary |
Addresses
Primary practice location
310 Upper Lake Rd
Lake Sherwood, CA 91361
Mailing address
310 Upper Lake Rd
Lake Sherwood, CA 91361-5143
Phone (805) 427-6033
Other practice location 1
200 S Wells Rd Ste 225
Ventura, CA 93004-1382
Phone (805) 659-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180713002664 | CA | Order and Referring Only - Dentist | 4284981770 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42722 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1184766784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 UPPER LAKE RD",
"city": "LAKE SHERWOOD",
"state": "CA",
"postal_code": "913615143",
"telephone_number": "805-427-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 UPPER LAKE RD",
"city": "LAKE SHERWOOD",
"state": "CA",
"postal_code": "91361",
"telephone_number": "805-427-6033"
}
],
"practiceLocations": [
{
"address_1": "200 S Wells Rd Ste 225",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930041382",
"country_code": "US",
"telephone_number": "805-659-0560",
"fax_number": "805-647-7164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIANCHI",
"first_name": "TERI",
"middle_name": "JEANNIEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Sherwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.