Individual provider Active NPI

Tessa Streeter, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vestavia, AL
National Provider Identifier
1326764325
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
CS-0007004 Issued in AL
Practice address
1705 Vestavia Pkwy
Vestavia, AL 35216-3752
Phone
(205) 979-7072
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X CS-0007004 AL Primary

Addresses

Primary practice location

1705 Vestavia Pkwy
Vestavia, AL 35216-3752

Mailing address

3828 Timberline Way
Vestavia, AL 35243-2452
Phone (407) 697-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CS-0007004ALMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Op Orthodontics of Al, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 16, 2022 Accepting new patients
David M Sarver DMD PC Orthodontics and Dentofacial Orthopedics PastSince Oct 16, 2022 Accepting new patients

Locations

1705 Vestavia Pkwy
Vestavia, AL 35216
Phone (205) 979-7072

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1326764325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 TIMBERLINE WAY",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432452",
            "telephone_number": "407-697-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 VESTAVIA PKWY",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163752",
            "telephone_number": "205-979-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "TESSA",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "CS-0007004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.