NPIMap

Organization Active NPI

Suncoast Dental Center

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1386799534
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNCOAST DENTAL CENTER
Practice address
13040 Livingston Rd Suite 3
Naples, FL 34105
Phone
(239) 566-2255
Fax
(239) 566-1788
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Dr. Kevin E Goodlet, DMDNPI 1457699795
Title
Dentist/President
Phone
(239) 566-2255

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13040 Livingston Rd Suite 3
Naples, FL 34105

Mailing address

13040 Livingston Road Suite 3
Naples, FL 34105
Phone (239) 566-2255

National Provider Directory

National Provider Directory

Locations

13040 Livingston Rd
Ste 3
Naples, FL 34105
Phone (239) 566-2255

Practitioners & affiliated clinicians

Practitioners 5

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1386799534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13040 LIVINGSTON ROAD SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "239-566-2255",
            "fax_number": "239-566-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 LIVINGSTON RD SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "239-566-2255",
            "fax_number": "239-566-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "GOODLET",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "239-566-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2018; 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.