Individual provider Active NPI

Minelle Marie Tendler, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boca Raton, FL
National Provider Identifier
1508017633
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN17665 Issued in FL
Practice address
199 W Palmetto Park Rd Ste D
Boca Raton, FL 33432-3849
Phone
(561) 826-7955
Fax
(561) 826-7957
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN17665 FL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2723 PR

Addresses

Primary practice location

199 W Palmetto Park Rd Ste D
Boca Raton, FL 33432-3849

Mailing address

199 W Palmetto Park Rd Ste D
Boca Raton, FL 33432-3849
Phone (561) 826-7955

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

LicenseStateTypeSpecialty
DN17665FLMDOrthodontics and Dentofacial Orthopedic Dentist
2723PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Alfredo Tendler DMD, PA Past Accepting new patients

Organizations & group practices 1

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1508017633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 W PALMETTO PARK RD STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323849",
            "telephone_number": "561-826-7955",
            "fax_number": "561-826-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W PALMETTO PARK RD STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323849",
            "telephone_number": "561-826-7955",
            "fax_number": "561-826-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDLER",
        "first_name": "MINELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN17665",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "2723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.