Teeho Specialty Group LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN1001175 Issued in DC

Legal business name

TEEHO SPECIALTY GROUP LLC

Practice address

1325 18TH St NW Ste 203
Washington, DC 20036-6501

Phone

(202) 716-7626

NPI assigned

May 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Shin, DMDNPI 1154687218

Title

Owner

Phone

(202) 716-7626

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Shin, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
  • NPI 1154687218
  NPD Authorized official
• Mehran Ariani, DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1174704050
  NPD (past)
• Eric A Foretich, D.D.S., M.A.

  • Oral and Maxillofacial Surgery (Dentist)
  • McLean, VA
  • NPI 1972720654
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1851738967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 18TH ST NW STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366501",
            "telephone_number": "202-716-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 18TH ST NW STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366501",
            "telephone_number": "202-716-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEHO SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-716-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1001175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsehaynesh Tedla
• Amsale G Tedlla
• Victor Tedontsop, HOME HEALTH AIDE
• Lisa A. Teegarden, PSYD
• Lynette Ann Teegerstrom, RPH
• Lauren Bianca Teel
• Kiarra Teeter
• Jonathan Maxwell Teets, MD
• Aster T. Tefera
• Eleni B Tefera

• Oral and Maxillofacial Surgery (Dentist) in Washington, DC
• Providers in Washington, DC by specialty
• Oral and Maxillofacial Surgery (Dentist) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.