Christopher Andrew Widmer, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN20965 Issued in FL

Practice address

4959 Castello Dr
Naples, FL 34103

Phone

(239) 262-2677

Fax

(239) 261-2670

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Your Dental LLC

  • Dental Clinic/Center
  • Naples, FL
  • NPI 1043861776
  NPD (past) Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1023397163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 OAKES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198658",
            "telephone_number": "301-801-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 CASTELLO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-262-2677",
            "fax_number": "239-261-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Brookley Ave SW",
            "address_purpose": "LOCATION",
            "city": "Bolling AFB",
            "state": "DC",
            "postal_code": "200327704",
            "country_code": "US",
            "telephone_number": "202-404-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 Del Prado Blvd S Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903627",
            "country_code": "US",
            "telephone_number": "239-482-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Brookley Ave SW",
            "address_purpose": "LOCATION",
            "city": "Bolling AFB",
            "state": "DC",
            "postal_code": "200327704",
            "country_code": "US",
            "telephone_number": "202-404-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6323 Corporate Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193518",
            "country_code": "US",
            "telephone_number": "239-482-5311",
            "fax_number": "239-482-8531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15101",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Whitman, P.T.
• Erin Ahrens Whitney, MD
• Wesley A Whitright, CRNA
• Courtney Lauren Whitt, PH.D.
• Anastasia Whittaker
• Lauren Widmer, DDS
• Widom Chiropractic Offices PA
• Gavin Jay Widom, DC
• Vikki Angert Wiener, D.O.
• Trent Wies

• Endodontics in Naples, FL
• Providers in Naples, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.