Active NPI
Stephanni Kailing Terza, DMD
- Dentist
- Gainesville, FL
National Provider Identifier
1588014591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22024
- Practice address
- 1395 Center Dr
Gainesville, FL 32610-2868 - Phone
- (352) 273-6560
- NPI assigned
- Jun 21, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN22024 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr
Gainesville, FL 32610-2868
Mailing address
PO Box 100425
Gainesville, FL 32610-0425
Phone (727) 599-3273
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 |
|---|---|---|---|
| DN22024 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1588014591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100425",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100425",
"telephone_number": "727-599-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326102868",
"telephone_number": "352-273-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERZA",
"first_name": "STEPHANNI",
"middle_name": "KAILING",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.