DR. TERRI ANN EUBANKS DDS NPI 1306960737

Dentist (General Practice) in Dermott, AR

NPI 1306960737 Individual Female Dentist General Practice PECOS Enrolled

About TERRI EUBANKS

Terri Eubanks is a provider established in Dermott, Arkansas and her medical specialization is dentist (general practice) . The NPI number of Terri Eubanks is 1306960737 and was assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 2854 (AR). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A dentist like Dr. Terri Ann Eubanks Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Terri Eubanks is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Terri Eubanks is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1306960737

Provider NameDR. TERRI ANN EUBANKS DDS
Provider Location Address300 S SCHOOL ST DERMOTT, AR 71638
Provider Mailing Address300 S SCHOOL ST DERMOTT, AR 71638
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-19-2007
Last Update Date01-15-2013


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.2854
License StateAR
Taxonomy DescriptionA 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.

Business Address

DR. TERRI ANN EUBANKS DDS
300 S SCHOOL ST
DERMOTT, AR
ZIP 71638
Phone: (870) 538-9720
Fax: (870) 538-9710

Get Directions


Mailing Address

DR. TERRI ANN EUBANKS DDS
300 S SCHOOL ST
DERMOTT, AR
ZIP 71638
Phone: (870) 538-9720
Fax: (870) 538-9710



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
BE1457173OTHER (01)AR
58142OTHER (01)AR
710748470OTHER (01)AR
2854OTHER (01)AR
4025414OTHER (01)TN
833311OTHER (01)AR
114704608MEDICAID (05)AR

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003021692DR. GARY DALTON DDS
Individual
Dentist (General Practice)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-9720
1659710879MRS. DANA SHEA PHILLIPS FNP-BC
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1669886552 SHENIKA JACKSON-KING APRN
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1104361880 TIFFANY WARGO APRN
Individual
Nurse Practitioner (Primary Care)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-3355
1417064890MAINLINE HEALTH SYSTEMS, INC
Organization
Clinic/Center (Dental)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-9720
1619572195 COURTNEY KELLER PHARMD
Individual
Pharmacist300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5414
1205315637 KIMBERLY WEEKS CNP
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1710448535 CLARK N ROBERTS APRN
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1962044800 CHARLIE J GOBER
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-3355
1821409996 CRYSTAL LITTLE MD
Individual
Pediatrics300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1386026359 COURTNEY SHAY JOHNSON CNP
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1184102303 WILLIAM JOSHUA HUNTER DNP
Individual
Nurse Practitioner (Family)300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-3355
1386758043MAINLINE HEALTH SYSTEMS INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-5296
1508800707DR. JAMIE SUZETTE EVANS M.D.
Individual
Family Medicine300 S SCHOOL ST
DERMOTT, AR 71638
(870) 538-3355

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.