Active NPI
Vivian Teegardin, D.D.S
- General Practice Dentistry
- Harlingen, TX
National Provider Identifier
1679663579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15949
- Practice address
- 1214 Dixieland Rd
Siuite #4
Harlingen, TX 78552-3351 - Phone
- (956) 428-5322
- Fax
- (956) 428-7986
- NPI assigned
- Oct 13, 2006
- 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 | 15949 | TX | Primary |
Addresses
Primary practice location
1214 Dixieland Rd
Siuite #4
Harlingen, TX 78552-3351
Mailing address
1214 Dixieland Rd
Siuite #4
Harlingen, TX 78552-3351
Phone (956) 428-5322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82D007 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 15949 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679663579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 DIXIELAND RD",
"address_2": "SIUITE #4",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523351",
"telephone_number": "956-428-5322",
"fax_number": "956-428-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 DIXIELAND RD",
"address_2": "SIUITE #4",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523351",
"telephone_number": "956-428-5322",
"fax_number": "956-428-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEGARDIN",
"first_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82D007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.