TERESA KERBAWY (NPI# 1033600879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033600879 |
| Entity Type | Individual |
| Full Name | TERESA KERBAWY |
| Credential | DDS |
| Practice Address |
13030 Military Rd S Ste 200 Tukwila WA 98168-3001 |
| Mailing Address |
955 Powell Ave Sw Renton WA 98057-2908 |
| Practice Telephone | 2064393289 |
| Mailing Telephone | 4252771311 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE61079241 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2018017582 | MO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 691 Nw Blue Pkwy, Lees Summit, MO 640865736 | 8165252056 |
| Street Address |
13030 MILITARY RD S STE 200 |
| City | TUKWILA |
| State | WA |
| Zip Code | 98168-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697652 | Paula Brentlinger | Family Medicine | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2005-08-26 |
| 1033773049 | Lauren Buckham | Nurse Practitioner | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2019-04-24 |
| 1437674686 | Leah C Griffiths | Nurse Practitioner | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2017-08-09 |
| 1518369230 | Shawnti Rockwell | Naturopath | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2014-09-24 |
| 1144584269 | Valory P. Delucia | Family Medicine | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2012-07-03 |
| 1710118567 | Benjamin S Fasbinder | Family Medicine | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2009-07-28 |
| 1447331780 | Xandra Ellen Rarden | Family Medicine | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2006-10-17 |
| 1346209509 | Heather Mayrenee Stephen Selby | Registered Nurse | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2006-03-17 |
| 1811987159 | James Peter Berghuis | Counselor | 13030 Military Rd S Ste 200, Tukwila, WA 98168-3001 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
| 1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
| 1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| 1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
| 1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
| Find all providers in zip 98168 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625250 | Hae Jin Yi | Dentist | 411 Strander Blvd Ste 108, Tukwila, WA 98188-2961 | 2020-07-02 |
| 1659730844 | Vien Ngoc Thi Nguyen | Dentist | 12259 48th Ave S, Tukwila, WA 98178-3424 | 2016-02-16 |
| 1700255015 | Albert Kang | Dentist | 327 Tukwila Pkwy, Tukwila, WA 98188-2913 | 2015-09-16 |
| 1093851586 | Harchand Singh | Dentist | 13955 Interurban Ave So, Tukwila, WA 98168 | 2007-01-30 |
| 1407950595 | Dale Lawrence Petrich | Dentist | 6720 Fort Dent Way, Suite #210, Tukwila, WA 98188 | 2006-09-11 |
| 1912916586 | Ginger Pauline Tarabetz | Dentist | 13030 Military Rd S Ste 210, Tukwila, WA 98168-3080 | 2006-08-05 |
| 1760039762 | Constantine Granatosky | Dentist | 15668 W Valley Hwy, Tukwila, WA 98188-5534 | 2019-08-23 |
| 1114450517 | Affordable Dental Group Inc | Dentist | 411 Strander Blvd, Ste 204, Tukwila, WA 98188-2935 | 2017-04-04 |
| 1942751235 | Sung Wook Yoon Dds,ms,pllc | Dentist | 6840 Fort Dent Way Ste 130, Tukwila, WA 98188-2555 | 2016-10-20 |
| 1871049593 | Dennis P. Nordlund, Dds | Dentist | 6720 Fort Dent Way, Suite 200, Tukwila, WA 98188-2580 | 2016-09-01 |
| Find all providers in TUKWILA | ||||
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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.