Teresa E. Canzoneri Girod, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

19939 Issued in TX

Practice address

590 Dowlen Rd
Beaumont, TX 77706-6014

Phone

(409) 866-9541

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Teresa Elizabeth Canzoneri Professional name

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 and National Provider Directory roles.

• Albritton Dental Associates PLLC

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1801593652
  NPD
• Access Dental of Beaumont PLLC

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1386390607
  NPD (past)
• Clinkscales Dental

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1013289776
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1295730950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 CORNERSTONE CT STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064066",
            "telephone_number": "409-898-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066014",
            "telephone_number": "409-866-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROD",
        "first_name": "TERESA",
        "middle_name": "E. CANZONERI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "CANZONERI",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Allen Gilmore II, MD
• Azuka Ginigeme
• Sherry D. Ginter, ATP
• Girlis Hoven
• Girls' Haven
• Bryan Githumbi, RPH
• Kali Gizzi
• GKH Inc
• GKH Inc
• Glen G.Guillet M.D.,P.a.

• Dentist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.