Jason Tenny, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 22378 Issued in FL

Practice address

10696 SW Village Pkwy
Port St Lucie, FL 34987-2358

Phone

(772) 380-4490

NPI assigned

Dec 19, 2016

Sex

Male

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

Enrolled in MD

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

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Professional Dental Alliance of Florida, PLLC

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1750938072
  NPD (past)
• Syd Associates, PA

  • Dental Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1073998464
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1811431331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10239 SW VILLAGE PKWY APT 206",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872364",
            "telephone_number": "703-389-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 SW VILLAGE PKWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872358",
            "telephone_number": "772-380-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNY",
        "first_name": "JASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Leigh Templin, NP
• Tender Loving Care Health Care Services of Florida, LLC (Tender Loving Care)
• Tender Loving Care Homes LLC
• Tender Loving Care Providers, Inc.
• Tender Touch Caregivers
• Naomi Terranella, M.A., CCC-SLP
• Maggie Terry, MA, BCBA
• Emiliano D Tesalona Jr., LMT
• Surafel Tesfaye
• Marie Testa, ARNP

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.