Davide Gottardi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20681 Issued in FL

Practice address

2654 N Andrews Ave Ste 4
Wilton Manors, FL 33311-2566

Phone

(954) 567-3311

Fax

(954) 567-3361

NPI assigned

Jun 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1346654100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 N ANDREWS AVE STE 4",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112566",
            "telephone_number": "954-567-3311",
            "fax_number": "954-567-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 N ANDREWS AVE STE 4",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112566",
            "telephone_number": "954-567-3311",
            "fax_number": "954-567-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTARDI",
        "first_name": "DAVIDE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20681",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Gonzalez, MFT
• Yaniris Gonzalez, CBHCM
• Sara Gorman
• Timothy R Goshen, D.O.
• Arash Goshtasby, DMD
• Betty A Gottfried, D.D.S.
• Ian Cleaent Griffin, LCSW
• Erley Grinan Lobaina
• Anthony NMN Guarisco Jr., BSW
• James Guerin

• General Practice Dentistry in Wilton Manors, FL
• Providers in Wilton Manors, 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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.