Individual provider Active NPI

Kelly Magher, DMD

  • Pediatric Dentistry
  • Naples, FL
National Provider Identifier
1063527828
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN16020 Issued in FL
Practice address
7505 Grand Lely Dr BLDG L
Naples, FL 34113-1753
Phone
(239) 920-4523
Fax
(239) 417-6254
NPI assigned
Aug 20, 2006
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN16020 FL Primary

Addresses

Primary practice location

7505 Grand Lely Dr BLDG L
Naples, FL 34113-1753

Mailing address

5046 Eclipse CT
Naples, FL 34104-6601
Phone (239) 263-7645

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
I20160407000541 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577861574

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1063527828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 ECLIPSE CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046601",
            "telephone_number": "239-263-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND LELY DR BLDG L",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341131753",
            "telephone_number": "239-920-4523",
            "fax_number": "239-417-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.