Active NPI
Stephanie W Teichmiller, DMD
- General Practice Dentistry
- Decatur, AL
National Provider Identifier
1851407704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4411
- Practice address
- 1316 Somerville Rd SE
Suite 2
Decatur, AL 35601-4305 - Phone
- (256) 350-5820
- Fax
- (256) 353-3117
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4411 | AL | Primary |
Addresses
Primary practice location
1316 Somerville Rd SE
Suite 2
Decatur, AL 35601-4305
Mailing address
1316 Somerville Rd SE
Suite 2
Decatur, AL 35601
Phone (256) 350-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4411 | Other | AL | STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 11, 2016 through May 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4411 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie W Teichmiler DMD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Decatur, AL
- NPI 1801374871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851407704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 SOMERVILLE RD SE",
"address_2": "SUITE 2",
"city": "DECATUR",
"state": "AL",
"postal_code": "35601",
"telephone_number": "256-350-5820",
"fax_number": "256-353-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 SOMERVILLE RD SE",
"address_2": "SUITE 2",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014305",
"telephone_number": "256-350-5820",
"fax_number": "256-353-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEICHMILLER",
"first_name": "STEPHANIE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "4411",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.