Individual provider Active NPI

Mary Terkoski, DDS

  • Dentist
  • Lowell, MA
National Provider Identifier
1699084426
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17324 Issued in MA
Practice address
44 Middle St
Lowell, MA 01852-1813
Phone
(978) 656-3059
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17324 MA Primary

Addresses

Primary practice location

44 Middle St
Lowell, MA 01852-1813

Mailing address

33 Kearney SQ
Dental Hygiene Program -- Talbot BLDG. 5TH Floor
Lowell, MA 01852-1901
Phone (978) 656-3059

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

LicenseStateTypeSpecialty
DN17324MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1699084426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 KEARNEY SQ",
            "address_2": "DENTAL HYGIENE PROGRAM -- TALBOT BLDG. 5TH FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521901",
            "telephone_number": "978-656-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MIDDLE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521813",
            "telephone_number": "978-656-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERKOSKI",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN17324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.