Theresa Ten Haaf, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4716 Issued in ME

Practice address

1615 Truemper St
Jbsa Lackland, TX 78236-5511

Phone

(207) 245-0293

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Jones Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972145936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 EVANS RD APT 3027",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587025",
            "telephone_number": "207-245-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 TRUEMPER ST",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365511",
            "telephone_number": "207-245-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEN HAAF",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Theresa.a.tenhaaf.mil@mail.mil",
            "affiliation": "Y",
            "address_1": "4881 Sugar Maple Dr",
            "city": "Wpafb",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454335529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa.a.tenhaaf.mil@mail.mil",
            "affiliation": "Y",
            "address_1": "1615 Truemper St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782365511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "JONES",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Karina Tanyi, PHYSICIAN ASSISTANT
• April Jo Taylor, AU.D.
• Jared Ross Taylor, PA-C
• Sean William Taylor, DMD
• Luis Carlos Teller
• Mitzi Deeneen Thomas-Lawson, MSSW
• Shannon Nicole Thompson
• Juby Oommen Thuruthumaly, PHARMACIST
• Hai M Tien, MD
• Samantha Timm, PSYD

• Dentist in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.