Individual provider Active NPI

David N Hendler, M.D.

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1629081021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26549 Issued in GA
Practice address
2155 Post Oak Tritt Rd Ste 300
Marietta, GA 30062-1651
Phone
(770) 565-8998
Fax
(770) 565-8901
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26549 GA Primary

Addresses

Primary practice location

2155 Post Oak Tritt Rd Ste 300
Marietta, GA 30062-1651

Mailing address

2155 Post Oak Tritt Rd Ste 300
Marietta, GA 30062-1651
Phone (770) 565-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000272 GA Practitioner - Internal Medicine 4587672837 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26549GAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629081021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621651",
            "telephone_number": "770-565-8998",
            "fax_number": "770-565-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621651",
            "telephone_number": "770-565-8998",
            "fax_number": "770-565-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLER",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "26549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.