Mary Tujetsch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021789 Issued in IL

Practice address

2023 45TH St
Highland, IN 46322-3712

Phone

(319) 610-6038

NPI assigned

Apr 28, 2008

Last updated

Apr 29, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1306011622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WACKER DR FL 31",
            "address_2": "C/O CHRISTIANA & ASSOCIATES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065867",
            "telephone_number": "319-610-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223712",
            "telephone_number": "319-610-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUJETSCH",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trucare Medical Center
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• Brooke J Trueblood, SLP
• Peter Tsiakopoulos, RPH
• George V. Tsoutsouris, D.P.M.
• Adesola Modupe Turner
• Vanessa Turner, APRN
• Carl Joseph Tyree, DDS
• Uro Surgery Associates LLC
• V-Care Home Health Services LLC

• General Practice Dentistry in Highland, IN
• Providers in Highland, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.