Active NPI
Devan Schulert
- Dentist
- Fort Myers, FL
National Provider Identifier
1336888684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26927
- Practice address
- 3436 Cleveland Ave
Fort Myers, FL 33901-7108 - Phone
- (239) 201-3480
- NPI assigned
- Jun 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26927 | FL | Primary |
Addresses
Primary practice location
3436 Cleveland Ave
Fort Myers, FL 33901-7108
Mailing address
1500 Centrepark Blvd Apt 320
West Palm Beach, FL 33401-7455
Phone (519) 990-2996
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26927 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1336888684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CENTREPARK BLVD APT 320",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334017455",
"telephone_number": "519-990-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017108",
"telephone_number": "239-201-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULERT",
"first_name": "DEVAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26927",
"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 Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.