Andonis Terezides, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN 17898 Issued in FL

Practice address

13800 Veterans Way
Orlando, FL 32827-7401

Phone

(407) 631-3000

NPI assigned

Dec 13, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 22, 2015 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Premier Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1750933545
  NPD Authorized official
• Tillery Group PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
  • NPI 1902020118
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225199235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 STAPELEY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326952",
            "telephone_number": "407-553-2894",
            "fax_number": "407-553-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "407-631-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13571 Narcoossee Road",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32832",
            "country_code": "US",
            "telephone_number": "407-553-2894",
            "fax_number": "407-553-2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Morse Blvd",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893797",
            "country_code": "US",
            "telephone_number": "407-628-5400",
            "fax_number": "407-628-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEREZIDES",
        "first_name": "ANDONIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 17898",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE #",
            "identifier": "17898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna-Kay Alicia Tenn, O.D.
• Brianna Alexis Tenorio, PA-C
• Teodore Dental P.a.
• Andrew Teran, D.C.
• Erneau Tercier
• Jennifer Lynn Tergliafera, COTA L
• Anne Marie Termini, LCSW
• Heather Josephine Terra
• Joseph Anthony Terranova, D.C.
• Drake Howard Terrell

• Oral and Maxillofacial Surgery (Dentist) in Orlando, FL
• Providers in Orlando, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.