Tessa Tecklenburg

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1433 Issued in SD

Practice address

208 W 37TH St
Sioux Falls, SD 57105-5704

Phone

(605) 332-6377

NPI assigned

May 23, 2024

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

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.

• Anlee M. Rola, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1831441922
  NPD (past)
• Dakota Dental

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1154729457
  NPD (past)

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1750120242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PERRY LN",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055704",
            "telephone_number": "605-332-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECKLENBURG",
        "first_name": "TESSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Leigh Taylor, D.O.
• Spencer Robert Taylor, NP
• Tea Area School 41-5
• Tea HRC
• Teamwork Physical Therapy
• Teddy Bear Den
• Thomas Tedmon, M-DIV
• Tel-Drug Inc
• Mali Elizabeth Teller, SLP
• Ross Tellinghuisen, PHARM.D

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.