Organization Active NPI

Bonita Palm Dental

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1376237073
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BONITA PALM DENTAL
Doing business as
Delmava
Practice address
9776 Bonita Beach Rd SE Ste 202a
Bonita Springs, FL 34135-4775
Phone
(703) 798-2850
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Karen Orozco, DDSNPI 1710566575
Title
Dentist
Phone
(703) 798-2850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9776 Bonita Beach Rd SE Ste 202a
Bonita Springs, FL 34135-4775

Mailing address

11713 Grey Timber LN
Fort Myers, FL 33913-8633
Phone (703) 798-2850

Other names 1

  • Delmava Doing business as

National Provider Directory

National Provider Directory

Locations

9776 Bonita Beach Rd SE
Ste 202A
Bonita Springs, FL 34135
Phone (239) 206-1668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1376237073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 GREY TIMBER LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138633",
            "telephone_number": "703-798-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 202A",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "703-798-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA PALM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-798-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmava",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.