Kings Lake Dental Services, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KINGS LAKE DENTAL SERVICES, PA

Practice address

4822 Davis Blvd
Naples, FL 34104

Phone

(239) 775-3383

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie Gomez

Title

Provider Relations

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Other names 1

• Towncare Dental of Naples Doing business as

Locations

Practitioners 3

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

• Kevin Douglas Cappelen, DDS

  • Dentist
  • Naples, FL
  • NPI 1487744439
  NPD (past)
• Vimla Maharaj-Banks, DDS

  • General Practice Dentistry
  • Naples, FL
  • NPI 1174647952
  NPD (past)
• Joel Shapses, DDS

  • General Practice Dentistry
  • Naples, FL
  • NPI 1659495398
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1295847788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134 ST",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-274-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 DAVIS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34104",
            "telephone_number": "239-775-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS LAKE DENTAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towncare Dental of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linell Clinton King, MD
• Shawn M. King, FNP-BC
• Sonya Brielle King
• Terry A King
• King'S Medical LLC
• Arlynne J Kingsman, RN
• Patty Lois Kington
• Brett Ann Kinley, RN, BSN, CNOR, RNFA
• Kinli Health, P.a.
• Adriana Crystal Kinn, ARNP

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.