Emmett L Tetz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61598 Issued in CA

Practice address

3663 Solano Ave Apt 235
Napa, CA 94558-2780

Phone

(707) 695-9066

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tetz & Varlakova Dental Corporation

  • General Practice Dentistry
  • Saint Helena, CA
  • NPI 1891324026
  NPD Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1245586205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 SOLANO AVE APT 235",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582780",
            "telephone_number": "707-695-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 SOLANO AVE APT 235",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582780",
            "telephone_number": "707-695-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZ",
        "first_name": "EMMETT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Castellanos Tellez
• Tamara Nicole Tennie
• Carissa Terry
• Marie Terry
• Sareth Tes
• Ellen Teung-Ouk
• Mitzi Thackston, RN
• Ria Thakur, RD
• Jocelyn Thapa Saru
• Sara Thatcher

• General Practice Dentistry in Napa, CA
• Providers in Napa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.