Individual provider Active NPI

Elizabeth McCutcheon Casey Guadagni, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Naples, FL
National Provider Identifier
1225424716
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN25565 Issued in FL
Practice address
90 Cypress Way E Ste 30
Naples, FL 34110-9275
Phone
(239) 597-3300
Fax
(239) 597-8409
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN25565 FL Primary

Addresses

Primary practice location

90 Cypress Way E Ste 30
Naples, FL 34110-9275

Mailing address

90 Cypress Way E Ste 30
Naples, FL 34110-9275
Phone (239) 597-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001483 NC Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 7618297896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN25565FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
William Aughton,DDS,PA Oral and Maxillofacial Surgery PastSince Aug 14, 2022 Accepting new patients
Southwest Florida Oral & Facial Surgery Oral and Maxillofacial Surgery PastSince May 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1225424716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CYPRESS WAY E STE 30",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341109275",
            "telephone_number": "239-597-3300",
            "fax_number": "239-597-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CYPRESS WAY E STE 30",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341109275",
            "telephone_number": "239-597-3300",
            "fax_number": "239-597-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAGNI",
        "first_name": "ELIZABETH",
        "middle_name": "MCCUTCHEON CASEY",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-08-09",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN25565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.