Juan F Rendon, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22083 Issued in TX

Practice address

4400 Little Rd
Suite 331a
Arlington, TX 76016

Phone

(972) 578-7800

Fax

(972) 867-9211

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Packard Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
  • NPI 1114045267
  NPD (past)
• Scott Law Ortho Corp, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
  • NPI 1689109977
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992824304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 CENTRAL PKWY E",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745551",
            "telephone_number": "972-578-7800",
            "fax_number": "972-867-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LITTLE RD",
            "address_2": "SUITE 331A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76016",
            "telephone_number": "972-578-7800",
            "fax_number": "972-867-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remco Pharmacy
• Remco Pharmacy Inc
• Renaissance Behavioral Health Services, LLC
• Renaissance Training Institute for Empowered Living, Inc.
• Renal Specialists of North Texas PLLC
• Renewed Purpose Counseling Services, LLC
• Margaret Rentschler, LCSW
• Ivy L. Rerko, RN, MSN, ACNP-C, CNS
• Reset Without the BS, LLC
• Resident of the Graystone

• Orthodontics and Dentofacial Orthopedics Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.