Jeffrey Richard Teno, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13318 Issued in MI

Practice address

16800 24 Mile
Suite 5
Macomb, MI 48042

Phone

(586) 781-2757

Fax

(586) 781-5493

NPI assigned

Nov 6, 2006

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 MI

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cobblestone Ridge Dentistry

  • Dentist
  • Macomb, MI
  • NPI 1982311767
  NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871672055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 24 MILE",
            "address_2": "SUITE 5",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-781-2757",
            "fax_number": "586-781-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 24 MILE",
            "address_2": "SUITE 5",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-781-2757",
            "fax_number": "586-781-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENO",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Skies Home Help LLC
• Sunny Smiles Therapies LLC
• Jenna Swinkowski, LLMSW
• Ace James Tacderas, NP
• Nickolas Teller
• Thera-Peds
• Theresa M Williams (Williams Chiropractic Center)
• Nicole Lynn Thibodeau
• Caroline Lillian Thomas, CRNA
• Michelle Kelli Thomas, FNP

• Dentist in Macomb, MI
• Providers in Macomb, MI by specialty
• Dentist in Michigan

• 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.