Dominique Latasha Terry, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH05369 Issued in TN

Practice address

2595 Central Avenue
Christ Community Health Services Inc
Memphis, TN 38104

Phone

(901) 260-8551

Fax

(901) 260-8590

NPI assigned

Mar 10, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chickasaw Dental

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1619005717
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1376866988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 POPLAR AVENUE",
            "address_2": "CHRIST COMMUNITY HEALTH SERVICES INC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "901-324-0093",
            "fax_number": "901-324-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CENTRAL AVENUE",
            "address_2": "CHRIST COMMUNITY HEALTH SERVICES INC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-260-8551",
            "fax_number": "901-260-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DOMINIQUE",
        "middle_name": "LATASHA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH05369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Terrell Jr., M.D.
• Robin Terry-Purnell, PHARM.D.
• Angela Terry
• Dava Mackensie Terry
• Deronda Vynette Terry, LPC
• Joan Burgart Terry, LCSW
• Leanne Terry, NP
• Meghann Terry, R.D., L.D.N.
• Timothy Terry
• Tony McKelvy Terry, BS

• Dental Hygienist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.