Carl H. Tegtmeier, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034785 Issued in NY

Practice address

359 E Main St
Suite 2C
Mount Kisco, NY 10549-3028

Phone

(914) 241-2069

Fax

(914) 241-0469

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By 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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518066893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 FARM WALK RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983200",
            "telephone_number": "914-245-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE 2C",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-241-2069",
            "fax_number": "914-241-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGTMEIER",
        "first_name": "CARL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tarantino, LCSW, CASAC MASTER
• Lindsay M Tarbell, LCSW
• Antonietta Tarnell
• Blaine Taub, MS, CCC-SLP
• Jenna Rachel Tauber, MD
• Merrie Susan Teitel-Greene, CLINICAL SOCIAL WORK
• Alan V. Tepp, PH.D.
• Ruth Ellen Tesler, M.D.
• Michael James Teta, PA
• The Amerson Center, LLC

• General Practice Dentistry in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.