Active NPI
Lazaro Acosta, DDS
- Dentist
- Naples, FL
National Provider Identifier
1083969323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19886
- Practice address
- 15215 Collier Blvd
Suite 314
Naples, FL 34119-6834 - Phone
- (239) 793-5599
- NPI assigned
- Jul 23, 2012
- Last updated
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN19886 | FL | Primary |
| Dentist | 122300000X | DN 19886 | FL |
Addresses
Primary practice location
15215 Collier Blvd
Suite 314
Naples, FL 34119-6834
Mailing address
7032 Ambrosia LN Apt 707
Naples, FL 34119-9652
Phone (813) 598-4301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19886 | FL | MD | Dentist |
| DN19886 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1083969323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 AMBROSIA LN APT 707",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199652",
"telephone_number": "813-598-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 COLLIER BLVD",
"address_2": "SUITE 314",
"city": "NAPLES",
"state": "FL",
"postal_code": "341196834",
"telephone_number": "239-793-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "LAZARO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19886",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 19886",
"primary": false
}
],
"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 Jul 23, 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.