Individual provider Active NPI

Dennis Alexander Tenenboym, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pinellas Park, FL
National Provider Identifier
1649614975
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3935 Issued in FL
Practice address
7800 66TH St N Ste 207
Pinellas Park, FL 33781
Phone
(727) 399-7167
Fax
(727) 440-8186
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3935 FL Primary
Podiatrist 213E00000X PO3935 FL

Addresses

Primary practice location

7800 66TH St N Ste 207
Pinellas Park, FL 33781

Mailing address

7800 66TH St N Ste 207
Pinellas Park, FL 33781-2101
Phone (727) 399-8186

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
I20180116002306 FL Practitioner - Podiatry 7315244621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7800 66TH St N
Suite 207
Pinellas Park, FL 33781-2101
Phone (727) 399-7167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions16
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3935FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Foot and Ankle PA CurrentSince Aug 20, 2017 Accepting new patients

Locations

7800 66th St N
Ste 207
Pinellas Park, FL 33781
Phone (727) 399-7167

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1649614975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 207",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-399-8186",
            "fax_number": "727-440-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 207",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-399-7167",
            "fax_number": "727-440-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENENBOYM",
        "first_name": "DENNIS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3935",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.