Craig Testerman, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DD5101 Issued in NM

Practice address

7 Municipal Way
Edgewood, NM 87015-7086

Phone

(505) 281-3406

Fax

(505) 224-8737

NPI assigned

May 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Craig Testerman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: qauser2@yourcarecommunity.org

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.

• Tri Dental, LLC

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1124779210
  NPD
• Tri Dental, LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1841803830
  NPD

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1194383752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2980",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870152980",
            "telephone_number": "505-281-3406",
            "fax_number": "505-224-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MUNICIPAL WAY",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157086",
            "telephone_number": "505-281-3406",
            "fax_number": "505-224-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Las Estancias Ct SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871215506",
            "country_code": "US",
            "telephone_number": "505-873-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTERMAN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5101",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": "DD5101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "TESTERMAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sybol Estelle Stewart, SA-C
• Grant Sudholt, RPH
• Sunrise Counseling Services NM LLC
• Apryl Swainston, RPH, PHARM.D
• Swim Good Industries
• The Lighted Path LLC
• Therapy Partnerships, LLC
• THNM Skyline Therapy Services
• Kellie Ann Tomlin, LCSW
• Lisa Rachelle Torres, PA

• Public Health Dentistry in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Public Health Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.

Verify at the official NPI Registry.