Florena LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11618 Issued in MN

Legal business name

FLORENA LLC

Practice address

8785 Columbine Rd
Eden Prairie, MN 55344-6695

Phone

(952) 941-7393

Fax

(952) 941-2162

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

R. Angela Wandera

Title

Dr. Angela Wandera

Phone

(952) 941-7393

Specialties & licenses 2

Addresses

Other names 1

• Dr. Angela Wandera and Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Angela Wandera, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eden Prairie, MN
  • NPI 1144206863

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1073727293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-941-7393",
            "fax_number": "952-941-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-941-7393",
            "fax_number": "952-941-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "WANDERA",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DR. ANGELA WANDERA",
        "authorized_official_telephone_number": "952-941-7393"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11618",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D11618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Angela Wandera and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kay Fix, C.P.N.P.
• Amanda Beth Kack Flannery, CPNP
• Richard Bruce Flatz
• Cassandra Fleming
• Kari Noelle Fletcher, D.D.S
• Chelsea Flores, HIS
• Olinda Floro, D.C.
• Flying Cloud Physical Therapy, P.a.
• Flying Cloud Spine & Sport, P.a.
• Amy Lee Foell, LPCC

• Pediatric Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.