Tracy Tchintchin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041879 Issued in PA

Practice address

405 E Nopal St
Carrizo Springs, TX 78834-3333

Phone

(830) 219-0411

NPI assigned

Jun 29, 2018

Last updated

May 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

Locations

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.

• Dental Care Works

  • Dental Clinic/Center
  • Carrizo Springs, TX
  • NPI 1124602875
  NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1265927446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 CLOVER RD",
            "city": "LONG POND",
            "state": "PA",
            "postal_code": "183347745",
            "telephone_number": "570-822-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E NOPAL ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343333",
            "telephone_number": "830-219-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Bear Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "18702",
            "country_code": "US",
            "telephone_number": "917-449-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHINTCHIN",
        "first_name": "TRACY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041879",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank James Sheppard, M.D.
• Cortney Shifferly, LPCI
• South Texas Rural Health Services, Inc.
• South Texas Surgical Specialists, PLLC (Carrizo Springs Specialist Clinic)
• Jane Elsa Tapia, SLPA
• Ricky Tijerina
• Blanca Rosa Valentine
• Devendra Varshney, M.D.
• Maya Varshney, M.D.
• Abigail Veloz, LVN

• General Practice Dentistry in Carrizo Springs, TX
• Providers in Carrizo Springs, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.