Individual provider Active NPI

Franklin Condori, D.D.S.

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1336360783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN# 12445 Issued in FL
Practice address
12435 Collier Blvd Ste 105
Naples, FL 34116-6041
Phone
(239) 455-0221
Fax
(239) 455-7859
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN# 12445 FL Primary

Addresses

Primary practice location

12435 Collier Blvd Ste 105
Naples, FL 34116-6041

Mailing address

4560 15TH Ave SW
Naples, FL 34116-5140
Phone (239) 353-7424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN# 12445FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Plaza Dental Care, Inc Past 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336360783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 15TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165140",
            "telephone_number": "239-353-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 COLLIER BLVD STE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166041",
            "telephone_number": "239-455-0221",
            "fax_number": "239-455-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDORI",
        "first_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN# 12445",
            "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 Jul 8, 2007; 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.