Individual provider Active NPI

Daniel Izaguirre, DMD

  • General Practice Dentistry
  • Cape Coral, FL
National Provider Identifier
1033648209
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22670 Issued in FL
Practice address
106 Hancock Bridge Pkwy W Ste A01
Cape Coral, FL 33991-2091
Phone
(239) 573-1273
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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 DN22670 FL Primary

Addresses

Primary practice location

106 Hancock Bridge Pkwy W Ste A01
Cape Coral, FL 33991-2091

Mailing address

955 NE 13TH Ave
Homestead, FL 33033-4519
Phone (786) 348-3119

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
I20180320000393 FL Order and Referring Only - DentistPractitioner - Dentist 1658633268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22670FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1033648209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NE 13TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334519",
            "telephone_number": "786-348-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HANCOCK BRIDGE PKWY W STE A01",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912091",
            "telephone_number": "239-573-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAGUIRRE",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.