Individual provider Active NPI

Lindsey Vander Zalm, DMD

  • Periodontics
  • Fort Myers, FL
National Provider Identifier
1215769732
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN26738 Issued in FL
Practice address
1645 Medical LN
Fort Myers, FL 33907-1110
Phone
(239) 936-0635
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN26738 FL Primary

Addresses

Primary practice location

1645 Medical LN
Fort Myers, FL 33907-1110

Mailing address

1645 Medical LN
Fort Myers, FL 33907-1110

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
DN26738FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael H Connor DDS Ms PA CurrentSince Nov 17, 2024 Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 107
Orlando, FL 32828
Phone (407) 277-3300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1215769732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 MEDICAL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 MEDICAL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071110",
            "telephone_number": "239-936-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZALM",
        "first_name": "LINDSEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN26738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.