Individual provider Active NPI

Alyne Tendero, DDS

  • Dentist
  • Hollywood, FL
National Provider Identifier
1578670907
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15750 Issued in FL
Practice address
6880 Taft St
Hollywood, FL 33024-5602
Phone
(954) 987-4141
Fax
(954) 962-2484
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15750 FL Primary

Addresses

Primary practice location

6880 Taft St
Hollywood, FL 33024-5602

Mailing address

6880 Taft St
Hollywood, FL 33024-5602
Phone (954) 987-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160324001629 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901103563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN15750FLMDDentist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Smile Garden Inc Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578670907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245602",
            "telephone_number": "954-987-4141",
            "fax_number": "954-962-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245602",
            "telephone_number": "954-987-4141",
            "fax_number": "954-962-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDERO",
        "first_name": "ALYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.