Samuel Cancelliere, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19519 Issued in FL

Practice address

1001 Crosspointe Dr Ste 2
Naples, FL 34110-0946

Phone

(239) 566-2422

NPI assigned

Aug 5, 2011

Last updated

Jun 8, 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 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

Medicare enrollment (NPD)

Enrolled

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.

• Samuel F. Cancelliere & Associates LLC

  dba The Dentistry In Naples

  • Dental Clinic/Center
  • Naples, FL
  • NPI 1952174385
  NPD Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1235418484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR",
            "address_2": "201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-566-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSSPOINTE DR STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100946",
            "telephone_number": "239-566-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCELLIERE",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose M. Campoamor, M.D.
• Fredrick Francis Campogni, PHARMD
• Kenia Campos, D.D.S
• Camy's Acupuncture & Herbs Clinic
• John Peter Cancelliere, DMD
• Vince Gene Cancelosa, DC
• Jennifer E Canfield, ARNP
• Kleidy Cangas Garcia
• Klenci Cangas Garcia
• Gregory J Cannarsa, MD

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.