Active NPI
Debra Jennings Teeters, DMD
- General Practice Dentistry
- Greensboro, NC
National Provider Identifier
1568767366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7220
- Practice address
- 2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391 - Phone
- (336) 855-3060
- Fax
- (336) 855-1304
- NPI assigned
- Jan 26, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7220 | NC | Primary |
Addresses
Primary practice location
2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391
Mailing address
2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391
Phone (336) 855-3060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7220 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roland M. Jones DDS | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1134399280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1568767366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 HORSE PEN CREEK RD",
"address_2": "SUITE 105",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108391",
"telephone_number": "336-855-3060",
"fax_number": "336-855-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 HORSE PEN CREEK RD",
"address_2": "SUITE 105",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108391",
"telephone_number": "336-855-3060",
"fax_number": "336-855-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEETERS",
"first_name": "DEBRA",
"middle_name": "JENNINGS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-26",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.