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TADESSE TESFAMICHAEL D.D.S.
NPI 1801993050
Dentist in San Jose, CA

Active since September 20, 2006PECOS Enrolled
920 N BASCOM AVE STE 1, SAN JOSE, CA 95128(408) 247-8001(408) 247-8004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tadesse Tesfamichael D.d.s. NPPES

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

TADESSE TESFAMICHAEL D.D.S. (NPI 1801993050) is an individual dentist in San Jose, California, licensed in California (40317) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801993050
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTADESSE TESFAMICHAELCredential: D.D.S.
Location Address920 N BASCOM AVE STE 1San Jose, CA 95128-1400
Mailing Address920 N Bascom Ave Ste 1San Jose, CA 95128-1400 · (408) 247-8001 · Fax (408) 247-8004
Phone(408) 247-8001
Fax(408) 247-8004
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801993050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 40317
Definition
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.
920 N BASCOM AVE STE 1, San Jose, CA 95128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Tadesse Tesfamichael 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 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 Tadesse Tesfamichael's NPI number?

The NPI number for Tadesse Tesfamichael is 1801993050. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Tadesse Tesfamichael located?

Tadesse Tesfamichael practices at 920 N Bascom Ave Ste 1, San Jose, CA 95128. The listed phone number is (408) 247-8001.

What is Tadesse Tesfamichael's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tadesse Tesfamichael enrolled in Medicare?

Yes. Tadesse Tesfamichael is registered in the Medicare PECOS enrollment system.

What insurance does Tadesse Tesfamichael accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tadesse Tesfamichael 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 Tadesse Tesfamichael was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.