Individual provider Active NPI

Scott Kenneth Kareth, DENTIST

  • Dentist
  • Naples, FL
National Provider Identifier
1154448751
Registry record updated May 21, 2024
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19591 Issued in FL
Practice address
4388 Thomasson Dr
Naples, FL 34112-6767
Phone
(239) 417-1553
Fax
(239) 417-1822
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19591 FL Primary

Addresses

Primary practice location

4388 Thomasson Dr
Naples, FL 34112-6767

Mailing address

4388 Thomasson Dr
Naples, FL 34112
Phone (239) 417-1553

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
I20160913002586 FL Order and Referring Only - DentistPractitioner - Dentist 8921394230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1154448751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 THOMASSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "239-417-1553",
            "fax_number": "239-417-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 THOMASSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126767",
            "telephone_number": "239-417-1553",
            "fax_number": "239-417-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARETH",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.