Tadesse Tesfamichael, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

40317 Issued in CA

Practice address

920 N Bascom Ave Ste 1
San Jose, CA 95128-1400

Phone

(408) 247-8001

Fax

(408) 247-8004

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Tadesse Tesfamichael, DDS

  • Dentist
  • San Jose, CA
  • NPI 1033300967
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801993050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N BASCOM AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281400",
            "telephone_number": "408-247-8001",
            "fax_number": "408-247-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N BASCOM AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281400",
            "telephone_number": "408-247-8001",
            "fax_number": "408-247-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAMICHAEL",
        "first_name": "TADESSE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Tes
• Yeromnesh H Tesema
• Adhanet Yemane Tesfai, BCBA
• Bisrat G Tesfai, NURSE LVN
• Helen Tesfai
• Teklu Tesfatsion
• Weini Y Tesfay
• Yodit T Tesfay
• Yohana Tesfaye, PT
• Cassandra Tesik, BA

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.