Wynette Bender, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027613 Issued in OH

Practice address

13990 Cedar Rd Ste B
University Heights, OH 44118-3200

Phone

(216) 395-7336

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Kates Growing Smiles Childrens Dentistry LLC

  • General Practice Dentistry
  • University Heights, OH
  • NPI 1093258105
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1215779947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 MONTICELLO BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181318",
            "telephone_number": "216-313-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13990 CEDAR RD STE B",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183200",
            "telephone_number": "216-395-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29102 Lake Shore Blvd",
            "address_purpose": "LOCATION",
            "city": "Willowick",
            "state": "OH",
            "postal_code": "440954659",
            "country_code": "US",
            "telephone_number": "216-395-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "WYNETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca D. Baum, SLP
• Erin Beans
• Jessica Becka, LPCC
• Jeremy Becker, OTR/L
• Lauren Beene
• Shoshana Bennett
• Jocelyn Bentley
• Joanne Berkovitz
• Taylor Berntson
• Bes of Ohio, LLC Dba Medgroup

• General Practice Dentistry in University Heights, OH
• Providers in University Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.