Active NPI
Ewaldo Wendler Jr.
- Dentist
- Doral, FL
National Provider Identifier
1134618481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15517
- Practice address
- 3650 NW 82ND Ave Ste 202
Doral, FL 33166-6662 - Phone
- (305) 463-8220
- Fax
- (305) 463-8255
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15517 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DN15517 | FL |
Addresses
Primary practice location
3650 NW 82ND Ave Ste 202
Doral, FL 33166-6662
Mailing address
3650 NW 82ND Ave Ste 202
Doral, FL 33166-6662
Phone (305) 463-8220
Other practice location 1
1444 Biscayne Blvd Ste 101
Miami, FL 33132-1421
Phone (305) 374-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15517 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Epstein, D.M.D.,P.a. | Dentist | Past | Accepting new patients |
| Ewaldo Wendler DDS PLLC | 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.
-
- General Practice Dentistry
- Miami, FL
- NPI 1013455419
-
- Dentist
- Miami, FL
- NPI 1457527228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1134618481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 NW 82ND AVE STE 202",
"city": "DORAL",
"state": "FL",
"postal_code": "331666662",
"telephone_number": "305-463-8220",
"fax_number": "305-463-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 NW 82ND AVE STE 202",
"city": "DORAL",
"state": "FL",
"postal_code": "331666662",
"telephone_number": "305-463-8220",
"fax_number": "305-463-8255"
}
],
"practiceLocations": [
{
"address_1": "1444 Biscayne Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331321421",
"country_code": "US",
"telephone_number": "305-374-2543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDLER",
"first_name": "EWALDO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-02",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15517",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN15517",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.