Kristin Laura Tussing, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.029017 Issued in IL

Practice address

6058 Garrett LN
Rockford, IL 61107-5228

Phone

(815) 398-5610

NPI assigned

Jun 3, 2012

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 IL

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

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1316208606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 GARRETT LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075228",
            "telephone_number": "815-398-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 GARRETT LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075228",
            "telephone_number": "815-398-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSING",
        "first_name": "KRISTIN",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Tuneberg, DMD
• Perry Kent Tuneberg, D.D.S.
• Beth A Turek, HIS
• Marcy L Turek, LCSW
• David I Turok, M.D.
• Lisa Marie Tutoni, P.T.
• Matthew H Twohig, MD
• Anita Lindsay Tyree, OTD
• Michael Tyrkus, PH.D.
• Chad Everett Udelhofen

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.