Individual provider Active NPI

Frederick Joseph Eck, DDS

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1275750473
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15395 Issued in FL
Practice address
27499 Riverview Center Blvd Ste 238
Bonita Springs, FL 34134-4335
Phone
(239) 444-1741
NPI assigned
Apr 19, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15395 FL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN15395 FL

Addresses

Primary practice location

27499 Riverview Center Blvd Ste 238
Bonita Springs, FL 34134-4335

Mailing address

27499 Riverview Center Blvd Ste 238
Bonita Springs, FL 34134-4335
Phone (239) 444-1741

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731001563 FL Practitioner - DentistPractitioner - Oral SurgeryPractitioner - Geriatric MedicinePractitioner - Sleep Medicine 2466765151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Geriatric Medicine, Oral Surgery, Sleep Medicine
Education
University of Detroit Mercy School of Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27499 Riverview Ctr Blvd
Suite 238
Bonita Springs, FL 34134-4335
Phone (239) 444-1741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleeptreatmentdirectinc Dentist CurrentSince Jan 1, 2020 Accepting new patients
Bonita Dental Care,PA Past Accepting new patients

Locations

27499 Riverview Center Blvd
Ste 238
Bonita Springs, FL 34134
Phone (239) 444-1741

950 N Collier Blvd
Ste 305
Marco Island, FL 34145
Phone (239) 389-9400

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1275750473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 238",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344335",
            "telephone_number": "239-444-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 238",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344335",
            "telephone_number": "239-444-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15395",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.