Individual provider Active NPI

Melissa Bogdan Sarantos, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1053681403
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10126 Issued in FL
Practice address
12264 Tamiami TRL E
Suite #201
Naples, FL 34113-7942
Phone
(239) 272-0264
Fax
(239) 352-7770
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10126 FL Primary

Addresses

Primary practice location

12264 Tamiami TRL E
Suite #201
Naples, FL 34113-7942

Mailing address

12264 Tamiami TRL E
Suite #201
Naples, FL 34113-7942
Phone (239) 272-0264

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1053681403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 TAMIAMI TRL E",
            "address_2": "SUITE #201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137942",
            "telephone_number": "239-272-0264",
            "fax_number": "239-352-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 TAMIAMI TRL E",
            "address_2": "SUITE #201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137942",
            "telephone_number": "239-272-0264",
            "fax_number": "239-352-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARANTOS",
        "first_name": "MELISSA",
        "middle_name": "BOGDAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10126",
            "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 Jan 3, 2012; 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.