Active NPI
Timothy Orlando Tesi, DPM
- Primary Podiatric Medicine Podiatrist
- Jefferson, TX
National Provider Identifier
1508960238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1154
- Practice address
- 116 N Vale St
Jefferson, TX 75657-2256 - Phone
- (903) 665-3339
- Fax
- (903) 756-5748
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1154 | TX | Primary |
Addresses
Primary practice location
116 N Vale St
Jefferson, TX 75657-2256
Mailing address
270 E Hunt Hwy Ste 16 Box 103
San Tan Valley, AZ 85143
Phone (903) 756-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092782402 | Medicaid | TX |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1508960238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E HUNT HWY STE 16 BOX 103",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "85143",
"telephone_number": "903-756-5540",
"fax_number": "903-756-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N VALE ST",
"city": "JEFFERSON",
"state": "TX",
"postal_code": "756572256",
"telephone_number": "903-665-3339",
"fax_number": "903-756-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESI",
"first_name": "TIMOTHY",
"middle_name": "ORLANDO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TX",
"license": "1154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092782402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.