Richardo S Bocanegra DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN13517 Issued in FL

Legal business name

RICHARDO S BOCANEGRA DDS PA

Practice address

6805 Porto Fino Cir
BLDG G
Fort Myers, FL 33912-4390

Phone

(239) 482-8805

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richardo S Bocanegra, DDS

Title

Dentist

Phone

(239) 482-8806

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053404939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 PORTO FINO CIR",
            "address_2": "BLDG G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124390",
            "telephone_number": "239-482-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 PORTO FINO CIR",
            "address_2": "BLDG G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124390",
            "telephone_number": "239-482-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDO S BOCANEGRA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOCANEGRA",
        "authorized_official_first_name": "RICHARDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "239-482-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darell Roy Rich, D.C.
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• Richard Sills O D P a
• Richard W. Haley, Inc.
• Benjamin Richards, DMD
• John M. Richards, DDS, MS
• P Jeffrey Richards, MD
• Whitney Amber Richards, DDS
• Colby Allen Richardson, M.D.

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.