Individual provider Active NPI

Jared Folke, DMD

  • Dentist
  • Naples, FL
National Provider Identifier
1184404303
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28512 Issued in FL
Practice address
163 Indies Dr E Unit 201
Naples, FL 34114-9835
Phone
(219) 476-5875
NPI assigned
Oct 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN28512 FL Primary

Addresses

Primary practice location

163 Indies Dr E Unit 201
Naples, FL 34114-9835

Mailing address

163 Indies Dr E Unit 201
Naples, FL 34114-9835
Phone (219) 476-5875

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
DN28512FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1184404303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 INDIES DR E UNIT 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341149835",
            "telephone_number": "219-476-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 INDIES DR E UNIT 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341149835",
            "telephone_number": "219-476-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKE",
        "first_name": "JARED",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28512",
            "primary": true
        }
    ],
    "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 Oct 5, 2023; 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.