Organization Active NPI

Minelle M. Tendler DMD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boca Raton, FL
National Provider Identifier
1114348323
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN17665 Issued in FL
Legal business name
MINELLE M. TENDLER DMD PA
Practice address
595 S Federal Hwy Ste 130
Boca Raton, FL 33432-6096
Phone
(561) 826-7955
Fax
(561) 826-7957
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Minelle Marie Tendler, DMD
Title
President
Phone
(561) 826-7955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN17665 FL Primary

Addresses

Primary practice location

595 S Federal Hwy Ste 130
Boca Raton, FL 33432-6096

Mailing address

595 S Federal Hwy Ste 130
Boca Raton, FL 33432-6096
Phone (561) 826-7955

Other names 1

  • Tendler Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1114348323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S FEDERAL HWY STE 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326096",
            "telephone_number": "561-826-7955",
            "fax_number": "561-826-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S FEDERAL HWY STE 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326096",
            "telephone_number": "561-826-7955",
            "fax_number": "561-826-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINELLE M. TENDLER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "TENDLER",
        "authorized_official_first_name": "MINELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-826-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN17665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendler Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.