John Nolan Tessendorf, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2245 Issued in WI

Practice address

215 5TH Ave
Eau Claire, WI 54703-5698

Phone

(715) 832-3100

Fax

(715) 832-3170

NPI assigned

Jun 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Dental Health Care Center

  • Dentist
  • Chippewa Falls, WI
  • NPI 1114369659
  NPD (past) Authorized official
• Dhcsc

  • Dentist
  • Thorp, WI
  • NPI 1336581875
  NPD (past) Authorized official
• DHC SC

  • Dentist
  • Cadott, WI
  • NPI 1497164255
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1891992483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 5TH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035698",
            "telephone_number": "715-832-3100",
            "fax_number": "715-832-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 5TH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035698",
            "telephone_number": "715-832-3100",
            "fax_number": "715-832-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSENDORF",
        "first_name": "JOHN",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "392011392",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott M Tenold, D.C.
• Denis Teplitski, DNP, CRNA
• Douglas William Terpstra, D.D.S.
• Stanislav S Terziev, MD
• Thomas Teselle, OD
• Thomas J Tessendorf, DDS
• Michaela Tessling, RN
• Cathleen Tessmer, RDH
• Thiyagarajan Thangavelu, M.D.
• Duree Driscoll Thatcher, MA, OTR/L

• General Practice Dentistry in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.