Terry Jean Mick, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN14342 Issued in FL

Practice address

315 North Madison Street
Quincy, FL 32351

Phone

(850) 627-9661

Fax

(850) 627-9324

NPI assigned

Apr 25, 2007

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

Enrolled in FL

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

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538388517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORTH MADISON STREET",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-9661",
            "fax_number": "850-627-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORTH MADISON STREET",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-9661",
            "fax_number": "850-627-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "TERRY",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole McNealy, LMHC
• Randall McNealy II
• Medical Center Pharmacy Inc of Quincy (Medical Center Pharmacy)
• Haley Meeks, APRN
• Kaylee Merritt
• Jessica S Miller, RD, LD
• Jennifer Mobley
• Dewana Latrice Monroe, RN
• Malik Moore, RBT
• Briseida Juanita Morales, LPN, CLC, FSD

• Dentist in Quincy, FL
• Providers in Quincy, FL by specialty
• Dentist in Florida

• 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.