NPIMap

Organization Active NPI

John P. Cancelliere & Associates, DMD, LLC

Doing business as The Dentistry at Veterans Park

  • Dentist
  • Naples, FL
National Provider Identifier
1386668051
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15942 Issued in FL
Legal business name
JOHN P. CANCELLIERE & ASSOCIATES, DMD, LLC
Doing business as
The Dentistry at Veterans Park
Practice address
1001 Crosspointe Drive
Suite 2
Naples, FL 34110
Phone
(239) 566-2422
Fax
(239) 596-6614
NPI assigned
Jul 27, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mr. John Peter Cancelliere, D.M.D.NPI 1821210824
Title
Dentist/Owner
Phone
(239) 566-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN15942 FL Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DN9163 FL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN9217 FL

Addresses

Primary practice location

1001 Crosspointe Drive
Suite 2
Naples, FL 34110

Mailing address

1001 Crosspointe Drive
Suite 2
Naples, FL 34110
Phone (239) 566-2422

Other names 1

  • The Dentistry at Veterans Park Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 216-2268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1386668051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROSSPOINTE DRIVE",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-566-2422",
            "fax_number": "239-596-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSSPOINTE DRIVE",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-566-2422",
            "fax_number": "239-596-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. CANCELLIERE & ASSOCIATES, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "CANCELLIERE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "239-566-2422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15942",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN9163",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN9217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentistry at Veterans Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2015; 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.