Individual provider Active NPI

Richard Edward Tenbrink, DDS

  • General Practice Dentistry
  • West Seneca, NY
National Provider Identifier
1245468040
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046557 Issued in NY
Practice address
1265 Center Rd
West Seneca, NY 14224-2313
Phone
(716) 674-7044
Fax
(716) 608-8734
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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 046557 NY Primary

Addresses

Primary practice location

1265 Center Rd
West Seneca, NY 14224-2313

Mailing address

1265 Center Rd
West Seneca, NY 14224-2313
Phone (716) 674-7044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160428001505 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7618276486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046557NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gary R. Schoene DDS, PC Past Accepting new patients
Gary R. Schoene, DDS, PC 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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1245468040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242313",
            "telephone_number": "716-674-7044",
            "fax_number": "716-608-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242313",
            "telephone_number": "716-674-7044",
            "fax_number": "716-608-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBRINK",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.