Organization Active NPI

Phillip Kraver DMD, PLLC

Doing business as Cape Dental Care

  • Dentist
  • Cape Coral, FL
National Provider Identifier
1346912565
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PHILLIP KRAVER DMD, PLLC
Doing business as
Cape Dental Care
Practice address
3001 Del Prado Blvd. S.
Cape Coral, FL 33904-7208
Phone
(239) 549-8921
Fax
(239) 542-2811
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Phillip Brian Kraver, DMD
Title
Dentist / Owner
Phone
(239) 549-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3001 Del Prado Blvd. S.
Cape Coral, FL 33904-7208

Mailing address

3001 Del Prado Blvd. S.
Cape Coral, FL 33904-7208
Phone (239) 549-8921

Other names 1

  • Cape Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1346912565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DEL PRADO BLVD. S.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047208",
            "telephone_number": "239-549-8921",
            "fax_number": "239-542-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DEL PRADO BLVD. S.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047208",
            "telephone_number": "239-549-8921",
            "fax_number": "239-542-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP KRAVER DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "KRAVER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "239-549-8921",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.