Nathan Cannon Dewsnup, D.M.D., MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN22368 Issued in FL

Practice address

8899 Timberwilde Dr Ste 3
Bonita Springs, FL 34135-7896

Phone

(239) 498-7668

Fax

(239) 498-7630

NPI assigned

Jul 6, 2007

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nathan C. Dewsnup DMD, Ms, LLC

  dba Bonita Endodontics

  • Endodontics
  • Bonita Springs, FL
  • NPI 1881181030
  NPD Authorized official
• Bonita Endodontic Associates, PLLC

  dba Bonita Endodontics

  • Endodontics
  • Bonita Springs, FL
  • NPI 1801595210
  NPD (past) Authorized official

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1215135793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 TIMBERWILDE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357896",
            "telephone_number": "239-498-7668",
            "fax_number": "239-498-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 TIMBERWILDE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357896",
            "telephone_number": "239-498-7668",
            "fax_number": "239-498-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWSNUP",
        "first_name": "NATHAN",
        "middle_name": "CANNON",
        "name_prefix": "Dr.",
        "credential": "D.M.D., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN22368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudie I Delgado Feeney, DMD
• Deltona Pharmacy of Florida, LLC
• Douglas Demars, LMT
• Dentists on Bonita Beach, P.a. (Dentists on Bonita Beach)
• Dermatology Associates of Naples LLC
• Stijn Dhespeel, DPT, ATC
• Carly Di Silvestro
• Diagnostic Services Inc (DSI Laboratories at Bonita)
• Maria V Diaz, DMD
• Melanie Ann Dibartolomeo Danner, PA-C

• Endodontics in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.