DR. CASEY ANNE TENNISWOOD (NPI# 1164653630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164653630 |
| Entity Type | Individual |
| Full Name | DR. CASEY ANNE TENNISWOOD |
| Credential | DDS |
| Practice Address |
532 Moe Rd Clifton Park NY 12065-3822 |
| Practice Telephone | 5183731181 |
| Practice Fax Number | 5183486517 |
| Mailing Telephone | 5183731181 |
| Mailing Fax Number | 5183486517 |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2009-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901019567 | MI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
054477-1 | NY | Dental Providers |
| Street Address |
532 MOE RD |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244704 | Kimberly Karol Elmer | Pediatrics | 532 Moe Rd, Clifton Park, Clifton Park, NY 12065-3822 | 2005-06-13 |
| 1598389264 | Terra Marie Snow | Social Worker | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2020-05-29 |
| 1306353479 | Four Seasons Pediatrics, LLC | Pediatrics | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2018-01-10 |
| 1477972123 | Jennifer K Sohn | Pediatrics | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2014-04-09 |
| 1871885053 | Ashley Elizabeth Apruzzese | Pediatrics | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2011-05-06 |
| 1821232083 | Carrie Lynn Roglieri | Pediatrics | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2009-04-30 |
| 1689836058 | James Mcdonnell Inc | Dentist | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2008-06-27 |
| 1942476023 | Juliann Marie Ashcroft | Physician Assistant | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2008-05-07 |
| 1154516656 | Dawne Salazar-moore | Counselor | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2007-09-08 |
| 1679676456 | Joyce F Gillespie | Physician Assistant | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386036 | Holly Lynn Fadie | Dentist | 713 Pierce Rd, Clifton Park, NY 12065-1302 | 2011-07-25 |
| 1962528810 | Edward Frederick Olli | Dentist | 1407 Route 9, Clifton Park, NY 12065-6588 | 2007-03-22 |
| 1316907090 | Shalini Ahuja | Dentist | 12 Chatsworth Way, Clifton Park, NY 12065-7238 | 2006-03-25 |
| 1376044479 | Ashley Talia Lerman | Dentist | 713 Pierce Rd, Clifton Park, NY 12065-1302 | 2018-02-23 |
| 1821486754 | Mcdonnell and Mcmahon Pediatric Dentistry Pllc | Dentist | 713 Pierce Rd, Clifton Park, NY 12065-1302 | 2014-12-30 |
| 1144635467 | James Brooke Lewis | Dentist | 713 Pierce Rd, Clifton Park, NY 12065-1302 | 2014-06-25 |
| 1689836058 | James Mcdonnell Inc | Dentist | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2008-06-27 |
| 1841418613 | Amy C Pfaffenbach | Dentist | 100 Sitterly Rd, Suite 102, Clifton Park, NY 12065-5671 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.