DR. EDDIE GLENN TENNISON D.D.S.
NPI 1023068038
Dentist - General Practice in Round Rock, TX

Q: What is Eddie Tennison's NPI number?

The NPI number for Eddie Tennison is 1023068038. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Eddie Tennison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Tennison was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2006PECOS Enrolled

2117 N MAYS ST, ROUND ROCK, TX 78664(512) 244-1221(512) 244-7773 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Eddie Glenn Tennison D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDDIE GLENN TENNISON D.D.S. (NPI 1023068038) is an individual general practice provider in Round Rock, Texas, licensed in Texas (14580) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023068038

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EDDIE GLENN TENNISONCredential: D.D.S.

Location Address2117 N MAYS STRound Rock, TX 78664-2155

Mailing Address2021 N Mays St Ste 1200Round Rock, TX 78664-2170 · (512) 244-1221 · Fax (512) 244-7773

Phone(512) 244-1221

Fax(512) 244-7773

Sole ProprietorYes

Enumeration DateMay 11, 2006

Last NPPES UpdateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1023068038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 14580

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 14580 (TX)

2117 N MAYS ST, Round Rock, TX 78664

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Other Identifiers 1

Medicaid110975302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eddie Glenn Tennison D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Tennison's NPI number?

The NPI number for Eddie Tennison is 1023068038. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Eddie Tennison located?

Eddie Tennison practices at 2117 N Mays St, Round Rock, TX 78664. The listed phone number is (512) 244-1221.

What is Eddie Tennison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eddie Tennison enrolled in Medicare?

Yes. Eddie Tennison is registered in the Medicare PECOS enrollment system.

What insurance does Eddie Tennison accept?

Health plans from Humana list Eddie Tennison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddie Tennison was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.