Individual provider Active NPI

Jennine M Santeiro, DMD

  • General Practice Dentistry
  • Weston, FL
National Provider Identifier
1063935658
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22746 Issued in FL
Practice address
2701 Executive Park Dr Ste 4
Weston, FL 33331-3632
Phone
(954) 217-4939
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22746 FL Primary

Addresses

Primary practice location

2701 Executive Park Dr Ste 4
Weston, FL 33331-3632

Mailing address

8436 Dundee Ter
Miami Lakes, FL 33016-6428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221001924 FL Order and Referring Only - DentistPractitioner - Dentist 9133487069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22746FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Dental Care of Weston General Practice Past Accepting new patients
Dental Services of Weston,PA General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1063935658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 DUNDEE TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EXECUTIVE PARK DR STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313632",
            "telephone_number": "954-217-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTEIRO",
        "first_name": "JENNINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.