Individual provider Active NPI

Maria Teresa Eseverri, DDS

  • Dentist
  • Davenport, IA
National Provider Identifier
1346081916
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-10217 Issued in IA
Practice address
1544 W Kimberly Rd
Davenport, IA 52806-5529
Phone
(563) 386-6910
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-10217 IA Primary

Addresses

Primary practice location

1544 W Kimberly Rd
Davenport, IA 52806-5529

Mailing address

4600 Grand Ave Unit A7
Davenport, IA 52807-1053
Phone (954) 224-4011

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

State licenses

LicenseStateTypeSpecialty
DDS-10217IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quad City Sleep Company PC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1544 W Kimberly Rd
Davenport, IA 52806
Phone (563) 386-6910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1346081916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GRAND AVE UNIT A7",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071053",
            "telephone_number": "954-224-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065529",
            "telephone_number": "563-386-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEVERRI",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.