Individual provider Active NPI

Melody Ann Poznanski

  • Dental Hygienist
  • Fort Myers, FL
National Provider Identifier
1114053832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH11855 Issued in FL
Practice address
15650 San Carlos Blvd
Fort Myers, FL 33908-2569
Phone
(239) 489-1118
Fax
(239) 489-3627
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH11855 FL Primary

Addresses

Primary practice location

15650 San Carlos Blvd
Fort Myers, FL 33908-2569

Mailing address

3708 NW 3Rd Ter
Cape Coral, FL 33993-6946
Phone (239) 872-4119

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

LicenseStateTypeSpecialty
DH11855FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Dental Partnership Past Accepting new patients
DRS. Aulino and Carlton, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114053832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 NW 3RD TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936946",
            "telephone_number": "239-872-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 SAN CARLOS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082569",
            "telephone_number": "239-489-1118",
            "fax_number": "239-489-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZNANSKI",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH11855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.