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DR. TERRYLYNN TENNANT DMD
NPI 1689669442
Dentist - General Practice in Portland, OR

Active since September 16, 2005Opted out of Medicare · through Mar 31, 2028
13765 NW CORNELL RD STE 100, PORTLAND, OR 97229(503) 643-9855(603) 661-6596 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Terrylynn Tennant Dmd NPPES

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

DR. TERRYLYNN TENNANT DMD (NPI 1689669442) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6534) and active in the NPI registry since September 2005. She has opted out of Medicare through March 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689669442
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TERRYLYNN TENNANTCredential: DMD
Location Address13765 NW CORNELL RD STE 100Portland, OR 97229-5363
Mailing Address13765 Nw Cornell Rd Ste 100Portland, OR 97229-5363 · (503) 643-9855 · Fax (603) 661-6596
Phone(503) 643-9855
Fax(603) 661-6596
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1689669442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6534
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.
13765 NW CORNELL RD STE 100, Portland, OR 97229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Terrylynn Tennant Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2016 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2016
Opt-Out In Effect ThroughMarch 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97229 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 Terrylynn Tennant's NPI number?

The NPI number for Terrylynn Tennant is 1689669442. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Terrylynn Tennant located?

Terrylynn Tennant practices at 13765 NW Cornell Rd Ste 100, Portland, OR 97229. The listed phone number is (503) 643-9855.

What is Terrylynn Tennant's specialty?

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

Is Terrylynn Tennant enrolled in Medicare?

No. Terrylynn Tennant has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Terrylynn Tennant accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Terrylynn Tennant 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 Terrylynn Tennant was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.