Individual provider Active NPI

Denise Marie Jeanne Vedrenne-Rangel, DDS, MS, MPH

  • Pediatric Dentistry
  • Marathon, FL
National Provider Identifier
1942401773
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN 17035 Issued in FL
Practice address
9713 Overseas Hwy
Marathon, FL 33050-3342
Phone
(305) 743-4670
Fax
(305) 743-4899
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN 17035 FL Primary

Addresses

Primary practice location

9713 Overseas Hwy
Marathon, FL 33050-3342

Mailing address

9713 Overseas Hwy
Marathon, FL 33050-3342
Phone (305) 743-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN 17035FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Dentistry for Children PA Pediatric Dentistry Past Accepting new patients

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243641600000",
    "number": "1942401773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503342",
            "telephone_number": "305-743-4670",
            "fax_number": "305-743-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503342",
            "telephone_number": "305-743-4670",
            "fax_number": "305-743-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDRENNE-RANGEL",
        "first_name": "DENISE",
        "middle_name": "MARIE JEANNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 17035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.