Active NPI
Keli Tenfuss Maciel, DDS
- General Practice Dentistry
- Dania, FL
National Provider Identifier
1285764548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN15912
- Practice address
- 435 E Sheridan St
Dania, FL 33004-5502 - Phone
- (954) 926-5888
- Fax
- (954) 926-7913
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15912 | FL | Primary |
Addresses
Primary practice location
435 E Sheridan St
Dania, FL 33004-5502
Mailing address
17125 N Bay Rd
#3107
Sunny Isles Beach, FL 33160-3447
Phone (954) 926-5888
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Kobb, D.D.S., PA | Past | Accepting new patients | |
| TLC Dental - Dania, LLC | 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.
-
- Skilled Nursing Facility
- Margate, FL
- NPI 1477799351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285764548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17125 N BAY RD",
"address_2": "#3107",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331603447",
"telephone_number": "954-926-5888",
"fax_number": "954-926-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E SHERIDAN ST",
"city": "DANIA",
"state": "FL",
"postal_code": "330045502",
"telephone_number": "954-926-5888",
"fax_number": "954-926-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIEL",
"first_name": "KELI",
"middle_name": "TENFUSS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN15912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dania, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.