Joseph Gendler, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D11258 Issued in MN

Practice address

1222 Mainstreet
Hopkins, MN 55343-7521

Phone

(952) 836-1113

Fax

(952) 836-1184

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1306836291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437521",
            "telephone_number": "952-836-1113",
            "fax_number": "952-836-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437521",
            "telephone_number": "952-836-1113",
            "fax_number": "952-836-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDLER",
        "first_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11258",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Garcia
• Julie C Gauderman, CRNA
• Hodan Abdinoor Geelle
• Emily Geldert, LICSW
• Gendler Dental Center Inc
• Kelly Ann Gherity
• Neal Allen Gillett, M.A.
• Gloryland Health Services, LLC
• Pamela Lee Goldsten, DPT
• Brittany S Goodman, CMT

• Oral and Maxillofacial Surgery (Dentist) in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.