NPIMap

Organization Active NPI

Fiddlesticks Dental Care

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1265617286
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17061 Issued in FL
Legal business name
FIDDLESTICKS DENTAL CARE
Practice address
13650 Fiddlesticks Blvd
Suite 200
Fort Myers, FL 33912-0312
Phone
(239) 225-1145
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Devki A Adi, DMDNPI 1548351950
Title
President
Phone
(239) 225-1145

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 DN17061 FL Primary

Addresses

Primary practice location

13650 Fiddlesticks Blvd
Suite 200
Fort Myers, FL 33912-0312

Mailing address

13650 Fiddlesticks Blvd
Suite 200
Fort Myers, FL 33912-0312
Phone (239) 225-1145

National Provider Directory

National Provider Directory

Locations

13650 Fiddlesticks Blvd
Ste 200
Fort Myers, FL 33912
Phone (239) 225-1145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1265617286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 FIDDLESTICKS BLVD",
            "address_2": "SUITE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120312",
            "telephone_number": "239-225-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 FIDDLESTICKS BLVD",
            "address_2": "SUITE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120312",
            "telephone_number": "239-225-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDDLESTICKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "ADI",
        "authorized_official_first_name": "DEVKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-225-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17061",
            "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 Jan 9, 2008; 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.