Organization Active NPI

Periodontics & Implant Center of Naples PLLC

  • Dental Clinic/Center
  • Naples, FL
National Provider Identifier
1255057774
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERIODONTICS & IMPLANT CENTER OF NAPLES PLLC
Practice address
3200 Bailey LN Ste 130
Naples, FL 34105-8525
Phone
(239) 435-0880
NPI assigned
Oct 17, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Jennifer Araya, DMDNPI 1568767572
Title
Sole Member
Phone
(954) 663-3930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3200 Bailey LN Ste 130
Naples, FL 34105-8525

Mailing address

3200 Bailey LN Ste 130
Naples, FL 34105-8525
Phone (239) 435-0880

National Provider Directory

National Provider Directory

Locations

3200 Bailey Ln
Ste 130
Naples, FL 34105
Phone (239) 435-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1255057774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LN STE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058525",
            "telephone_number": "239-435-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LN STE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058525",
            "telephone_number": "239-435-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS & IMPLANT CENTER OF NAPLES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "ARAYA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "954-663-3930",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "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 17, 2022; 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.