Jayson J Terres, DDS, MD, FACS, FAACS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

M4965 Issued in TX

Practice address

805 Turtle Creek Dr
Tyler, TX 75701-1937

Phone

(903) 592-1664

Fax

(903) 525-1099

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Maxillofacial Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Turtle Creek Surgery Center LLCGroup PAC ID 7416923735, 4 clinicians

Tyler Oral and Facial Surgery IncGroup PAC ID 0446272306, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jterres355927@ahs.direct-ci.com

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.

• Turtle Creek Surgery Center, LLC

  dba Turtle Creek Anesthesia Group

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1437420270
  Medicare reassignment Care Compare group NPD
• Tyler Oral & Facial Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
  • NPI 1568654077
  Medicare reassignment Care Compare group NPD
• East Texas Medical Center

  dba Etmc EMS

  • Land Ambulance
  • Bellmead, TX
  • NPI 1568964518
  NPD (past)
• Turtle Creek Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1699819979
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1659448108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664",
            "fax_number": "903-592-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664",
            "fax_number": "903-525-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Doctor Cir",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055050",
            "country_code": "US",
            "telephone_number": "903-592-1664",
            "fax_number": "903-212-0677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRES",
        "first_name": "JAYSON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS, MD, FACS, FAACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22097",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "M4965",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "M4965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE DENTAL LICENSE",
            "identifier": "22097",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "751572652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M4965",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195649203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen T Tennison, CRNA
• Angelica Tennison
• Leonel Teran, MD
• Monica Terpening, LCSW
• Gregory Scott Terrell, MD
• Beasley Stephen Terry, COTA
• Erica Terry
• Janice Lynn Terry, LCSW
• Kelly L Terry, CRNA
• Samuel Terry, RN

• Oral and Maxillofacial Surgery (Dentist) in Tyler, TX
• Providers in Tyler, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.