Mona Derentz, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

100011 Issued in CA

Practice address

31370 Telegraph Rd
Bingham Farms, MI 48025-4356

Phone

(805) 630-4541

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mona Derentz D.D.S., Inc

  dba The Smile Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tarzana, CA
  • NPI 1508528142
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1609393438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 AUTUMN LEAF DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602607",
            "telephone_number": "805-630-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31370 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254356",
            "telephone_number": "805-630-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERENTZ",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "100011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis & David Company (Nursing Home Eyecare Group)
• Dennis Z. Weber (Michigan Eye Center)
• Wanda Denise Dennis, PHD
• Raneka Dent
• Derek R. Nykiel DDS PC
• Allyssa Taylor Derks
• David James Derouselle II
• Matthew Robert Dery, DDS
• Robert M Dery, D.D.S.
• Jacob Deskovitz

• Orthodontics and Dentofacial Orthopedics Dentistry in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.