Synergy Therapeutics, PC

Primary specialty

DentistTaxonomy code 122300000X

License

060010668 Issued in IL

Legal business name

SYNERGY THERAPEUTICS, PC

Practice address

1000 Eleven South
Suite 3F
Columbia, IL 62236

Phone

(618) 281-9729

Fax

(618) 281-9734

NPI assigned

Dec 13, 2011

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela L Tenholder, DMDNPI 1487605507

Title

Dentist

Phone

(618) 281-9729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela L Tenholder, D.M.D.

  • Dentist
  • Columbia, IL
  • NPI 1487605507
  Authorized official Same address or phone

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1912275314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELEVEN SOUTH",
            "address_2": "SUITE 3F",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "62236",
            "telephone_number": "618-281-9729",
            "fax_number": "618-281-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELEVEN SOUTH",
            "address_2": "SUITE 3F",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "62236",
            "telephone_number": "618-281-9729",
            "fax_number": "618-281-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY THERAPEUTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "TENHOLDER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-281-9729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "060010668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kathryn Stout, PA-C
• Arianne R Stuckmeyer, MPT
• Success Motivators, LLC (Womens Wellness and Family Counseling)
• Nicholas J Sutton, NP
• Patricia Swanson, LCSW
• Kaila Renee Taylor
• Angela L Tenholder, D.M.D.
• Melody Ann Terry, FNP
• The Hearing Hub, LLC
• Andrea Nicole Thomas, PAC

• Dentist in Columbia, IL
• Providers in Columbia, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.