Individual provider Active NPI

Jhony R Espinoza, DDS

  • Dentist
  • Cape Coral, FL
National Provider Identifier
1033527361
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20828 Issued in FL
Practice address
1751 NE Pine Island Rd Ste 130
Cape Coral, FL 33909
Phone
(239) 273-6369
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20828 FL Primary

Addresses

Primary practice location

1751 NE Pine Island Rd Ste 130
Cape Coral, FL 33909

Mailing address

2624 Brightside CT
Cape Coral, FL 33991-3165
Phone (239) 273-6369

Other practice location 1

3436 Cleveland Ave
Fort Myers, FL 33901-7108
Phone (239) 201-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730012455 FL Order and Referring Only - DentistPractitioner - Dentist 8325352610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1033527361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BRIGHTSIDE CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913165",
            "telephone_number": "239-273-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 NE PINE ISLAND RD STE 130",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33909",
            "telephone_number": "239-273-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339017108",
            "country_code": "US",
            "telephone_number": "239-201-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "JHONY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.