Jessica Tendero, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21944 Issued in FL

Practice address

17701 NW 78TH Ave
Hialeah, FL 33015-3629

Phone

(786) 282-0224

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Mint Dental Studio Inc

  • Dental Clinic/Center
  • Hialeah, FL
  • NPI 1184152928
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1750731691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 NW 163RD TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166104",
            "telephone_number": "786-282-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17701 NW 78TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153629",
            "telephone_number": "786-282-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDERO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tempus Behavioral Health LLC
• Tender Care Med Group Corp
• Tender Care Med Group Corp
• Tender Care Med Group Corp
• Tender Home Health Services, Inc
• Jose Angel Tendero, M.D
• Tenet Florida Physician Services, LLC
• Tenet Florida Physician Services, LLC
• Peter Teng, MD
• Federica Tentor, LCSW

• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.