Active NPI
Marcos Alexandre Fadanelli
- Prosthodontics
- Gainesville, FL
National Provider Identifier
1144190273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DTP864
- Practice address
- 1395 Center Dr
Gainesville, FL 32610-3006 - Phone
- (347) 668-1987
- NPI assigned
- Nov 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DTP864 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr
Gainesville, FL 32610-3006
Mailing address
1395 Center Dr
Gainesville, FL 32610-3006
Phone (347) 668-1987
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 |
|---|---|---|---|
| DTP864 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1144190273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 CENTER DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "347-668-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "347-668-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADANELLI",
"first_name": "MARCOS",
"middle_name": "ALEXANDRE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DTP864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.