Active NPI
Terry L Test, DDS
- General Practice Dentistry
- Flower Mound, TX
National Provider Identifier
1649288747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D15950
- Practice address
- 2900 Long Prairie Rd Ste D
Flower Mound, TX 75022-4954 - Phone
- (972) 539-6831
- Fax
- (972) 355-5426
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D15950 | TX | Primary |
Addresses
Primary practice location
2900 Long Prairie Rd Ste D
Flower Mound, TX 75022-4954
Mailing address
2900 Long Prairie Rd Ste D
Flower Mound, TX 75022-4954
Phone (972) 539-6831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526001772 | TX | Order and Referring Only - Other (Physician) | 0244550689 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15950 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649288747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LONG PRAIRIE RD STE D",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224954",
"telephone_number": "972-539-6831",
"fax_number": "972-355-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LONG PRAIRIE RD STE D",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224954",
"telephone_number": "972-539-6831",
"fax_number": "972-355-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEST",
"first_name": "TERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "D15950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
- Laela Tello
- Amy Redding Tempelmeyer
- Thomas Tenney, DMD
- Jessica Teran
- Terry T. Angevine, DDS Inc
- Texas Digestive Disease Consultants, PLLC
- Texas Endodontic Center,PLLC (Endodontic Excellence)
- Texas Health Flower Mound Orthopedic Surgery Center LLC
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Innovative Surgery Center LLC
Sources for this page
- 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.