Terrylynn Tennant, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6534 Issued in OR

Practice address

13765 NW Cornell Rd Ste 100
Portland, OR 97229-5363

Phone

(503) 643-9855

Fax

(603) 661-6596

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 31, 2016 through Mar 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TLT Enterprises LLC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1811831795
  NPD Authorized official
• Maryam M. Motlagh DMD PC

  • Dentist
  • Portland, OR
  • NPI 1811154271
  NPD (past)
• Rd Prabhu-Lata K Shete MDS LTD

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1912995309
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1689669442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13765 NW CORNELL RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295363",
            "telephone_number": "503-643-9855",
            "fax_number": "603-661-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13765 NW CORNELL RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295363",
            "telephone_number": "503-643-9855",
            "fax_number": "603-661-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "TERRYLYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester F Tengsico, DPM
• Tanna Nicole Tenhoopen Dolinsky
• Tyona Teninty
• Hannah Tennant
• Robert E Tennant, MD
• Elex Dyar Tenney, MSW
• Kiya Tenney, LMT
• Olivia Tenney
• Joan M Teno, MD
• Crystal Tenty

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.