Individual provider Active NPI

Andrea Mier Parsons, DDS

  • Dentist
  • Cape Coral, FL
National Provider Identifier
1306104351
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19883 Issued in FL
Practice address
1616 Cape Coral Pkwy W Ste 115
Cape Coral, FL 33914-6973
Phone
(239) 549-7771
Fax
(239) 549-1483
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19883 FL Primary

Addresses

Primary practice location

1616 Cape Coral Pkwy W Ste 115
Cape Coral, FL 33914-6973

Mailing address

1616 Cape Coral Pkwy W Ste 115
Cape Coral, FL 33914-6973
Phone (239) 549-7771

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002728 FL Order and Referring Only - DentistPractitioner - Dentist 4587966718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19883FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rasmussen Family Dental North LLC Dentist CurrentSince May 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1306104351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CAPE CORAL PKWY W STE 115",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146973",
            "telephone_number": "239-549-7771",
            "fax_number": "239-549-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CAPE CORAL PKWY W STE 115",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146973",
            "telephone_number": "239-549-7771",
            "fax_number": "239-549-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "ANDREA",
        "middle_name": "MIER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.