Individual provider Active NPI

Fernando Saavedra, DMD

  • Dentist
  • Naples, FL
National Provider Identifier
1174250740
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27441 Issued in FL
Practice address
6839 Collier Blvd Unit 103
Naples, FL 34114-3632
Phone
(239) 206-1659
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27441 FL Primary

Addresses

Primary practice location

6839 Collier Blvd Unit 103
Naples, FL 34114-3632

Mailing address

4467 Petal Dr Unit 209
Naples, FL 34112-6386
Phone (832) 257-9678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fernando.saavedra@pacden.com Direct Pacific Dental Services

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
I20221118000121 FL Order and Referring Only - DentistPractitioner - Dentist 3577931831

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1174250740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 PETAL DR UNIT 209",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126386",
            "telephone_number": "832-257-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COLLIER BLVD UNIT 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143632",
            "telephone_number": "239-206-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fernando.saavedra@pacden.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Pacific Dental Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6839 Collier Blvd Unit 103",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341143632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.