Terri Wendell, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

9715 Issued in MA

Practice address

510 North St Ste 2
Pittsfield, MA 01201-4111

Phone

(413) 447-2781

NPI assigned

Aug 25, 2022

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Community Health Programs

  • Federally Qualified Health Center (FQHC)
  • Pittsfield, MA
  • NPI 1942759162
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1932828548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BURR DR",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261316",
            "telephone_number": "413-684-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 2",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014111",
            "telephone_number": "413-447-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "TERRI",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "9715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twendell@chpberkshires.org",
            "affiliation": "N",
            "address_1": "510 North St Ste 2",
            "city": "Pittsfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "012014111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew A Weir, PT
• Emma Elizabeth Weiskopf, MD
• Jennifer Elaine Welch, MSPT
• Michael C Wellington, OD
• Wellmind Behavioral Health LLC
• Kristina Wendling
• Wendy Zunitch LLC
• Robert Joseph Wenger Jr., D.O.
• Douglas Wentworth
• Gloria Jean Wesley

• Dental Hygienist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.