Individual provider Active NPI

Bahman Simon Amini, DMD

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1023213253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14114 Issued in FL
Practice address
1019 Crosspointe Dr
Suite 2
Naples, FL 34110-0930
Phone
(239) 591-2292
Fax
(239) 591-8075
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14114 FL Primary

Addresses

Primary practice location

1019 Crosspointe Dr
Suite 2
Naples, FL 34110-0930

Mailing address

1019 Crosspointe Dr
Suite 2
Naples, FL 34110-0930
Phone (239) 591-2292

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

State licenses

LicenseStateTypeSpecialty
14114FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sofi Dental Care & Orthodontics General Practice Current 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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023213253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CROSSPOINTE DR",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100930",
            "telephone_number": "239-591-2292",
            "fax_number": "239-591-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CROSSPOINTE DR",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100930",
            "telephone_number": "239-591-2292",
            "fax_number": "239-591-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "BAHMAN",
        "middle_name": "SIMON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • 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.