NPIMap

Individual provider Active NPI

Teresa Deeter, D.O.

  • Family Medicine Physician
  • Arlington, MN
National Provider Identifier
1194189514
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65653 Issued in MN
Practice address
601 W Chandler St
Arlington, MN 55307-2127
Phone
(507) 964-2271
NPI assigned
Apr 12, 2016
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65653 MN Primary

Addresses

Primary practice location

601 W Chandler St
Arlington, MN 55307-2127

Mailing address

601 W Chandler St
Arlington, MN 55307-2127

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Arlington Direct
Other URL Arlington Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001540 MN Practitioner - Family Practice 6507117918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Sibley Medical CenterGroup PAC ID 6608784293, 5 clinicians
Sibley Medical CenterGroup PAC ID 3870722499, 5 clinicians

Practice addresses (Care Compare)

601 W Chandler
Arlington, MN 55307-2127

601 W Chandler St
Arlington, MN 55307-2127
Phone (507) 964-2271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center Current Accepting new patients
Sibley Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Ridgeview Medical Center Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Sibley Medical Center Past Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1194189514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W CHANDLER ST",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W CHANDLER ST",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072127",
            "telephone_number": "507-964-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "TERESA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "65653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 W Chandler St",
            "city": "Arlington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553072127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 W Chandler St",
            "city": "Arlington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553072127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, MN

Sources for this page

Verify at the official NPI Registry.