Marie Angeline Tero, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45621 Issued in CA

Practice address

680 Bancroft Ave
San Leandro, CA 94577-2904

Phone

(510) 569-0218

Fax

(510) 569-9714

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Dr. Marie Tero Chang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bancroft Dental Care

  • Dentist
  • San Leandro, CA
  • NPI 1659725240
  NPD (past)
• Mike Chang DDS Inc

  • Dentist
  • San Leandro, CA
  • NPI 1881933190
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699870733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ENCOUNTER BAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027909",
            "telephone_number": "510-772-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BANCROFT AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772904",
            "telephone_number": "510-569-0218",
            "fax_number": "510-569-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERO",
        "first_name": "MARIE",
        "middle_name": "ANGELINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CHANG",
            "middle_name": "TERO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Telecare Corporation (Alameda County Adolescent CSU Aftercare)
• Jennifer Marie Teng, MD
• Joseph Teng, DO
• Crystal Tenorio, RN
• Peter A Ternus, D.P.M.
• Genevieve Marie Terry, PA-C
• Abigail Tesfamicael
• Hanna Tesfamikael
• Sierra Thai-Binh
• Kelly Minhtuyet Thai

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.