Richard Matthew Terasaki, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12390 Issued in TX

Practice address

1606 N Virginia St
Port Lavaca, TX 77979-2241

Phone

(361) 552-5800

Fax

(888) 276-1646

NPI assigned

Jul 31, 2006

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Edna Dentistry, PLLC

  • General Practice Dentistry
  • Edna, TX
  • NPI 1013378736
  NPD (past)
• Port Lavaca Dentistry PLLC

  • Dentist
  • Port Lavaca, TX
  • NPI 1881005296
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1386650307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792241",
            "telephone_number": "361-552-5800",
            "fax_number": "888-276-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792241",
            "telephone_number": "361-552-5800",
            "fax_number": "888-276-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERASAKI",
        "first_name": "RICHARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Danielle Spraggins, PTA
• Richard Steinberg, DPM
• Steven a. Branch
• Eddie Teague, P.T.
• Team Rehab
• Kidu G Tesfamichael
• Tiffany Nicole Thompson, FNP
• Courtne L Thurlkill, FNP
• TRM Medical,P.a.
• Lisa Marie Van Guilder, NP-C

• Dentist in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.