Terrence Scott McDermott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7883 Issued in IN

Practice address

13315 Lincoln Plaza
Cedar Lake, IN 46303

Phone

(219) 374-7213

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1982899654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463030358",
            "telephone_number": "219-374-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 LINCOLN PLAZA",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "46303",
            "telephone_number": "219-374-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "TERRENCE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Lynn Kouder, RN, IBCLC
• Lauren Locke
• Karen A. Markulin
• Michael R Martell, DDS
• Rachael Marie McConnell, LSW
• Emily McMillin, PT, DPT
• Gianna Mendez
• Midwest Express Care 4, LLC
• Jon D Misch, D.O.
• Moody Dental LLC

• General Practice Dentistry in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.