Antonia Teruel Castellon, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

D010117 Issued in AZ

Practice address

9481 E Ironwood Square Dr
Scottsdale, AZ 85258

Phone

(480) 945-3629

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Orofacial Pain

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDHHAA/Endpoint/FDHHAA

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.

• Head Pain Institute LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Scottsdale, AZ
  • NPI 1609632678
  Medicare reassignment NPD Authorized official
• Aztmj, PLLC

  • Dentist
  • Scottsdale, AZ
  • NPI 1992971204
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1477829927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "SALK ANNEX B22",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152612253",
            "telephone_number": "412-383-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-945-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Terrace St",
            "address_2": "Salk Annex B22",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152612253",
            "country_code": "US",
            "telephone_number": "412-383-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERUEL CASTELLON",
        "first_name": "ANTONIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041154",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61249",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D010117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Terrano, MD, PHD
• Terravita Smiles, PC
• Terry C Ramsey, DDS
• Terry W. Rudnyk, D.D.S., P.C.
• Emily Grace Terry, MD
• Sean Terwilleger
• Emma Catherine Terwilliger
• Tesis Labs of Arizona LLC
• Johanna J Tesoniero, DDS
• Biruktawit Tessfaye

• Orofacial Pain Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orofacial Pain Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.