Active NPI
Lance Robert Noerenberg, DDS
- Dentist
- Temple Terrace, FL
National Provider Identifier
1497597264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29052
- Practice address
- 11157 N 56TH St
Temple Terrace, FL 33617-2901 - Phone
- (813) 641-4921
- NPI assigned
- Jun 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 29052 | FL | Primary |
Addresses
Primary practice location
11157 N 56TH St
Temple Terrace, FL 33617-2901
Mailing address
1250 E Madison St.
Apt 318
Tampa, FL 33602-8933
Phone (219) 678-0003
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 |
|---|---|---|---|
| 29052 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1497597264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 E MADISON ST.",
"address_2": "APT 318",
"city": "TAMPA",
"state": "FL",
"postal_code": "336028933",
"telephone_number": "219-678-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11157 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172901",
"telephone_number": "813-641-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOERENBERG",
"first_name": "LANCE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2024-07-15",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "29052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.