Active NPI
Tamer Eshra, DDS
- Dentist
- Bonita Springs, FL
National Provider Identifier
1396123287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21020
- Practice address
- 8951 Bonita Beach Rd SE
206
Bonita Springs, FL 34135-4201 - Phone
- (201) 647-2721
- NPI assigned
- May 11, 2015
- Last updated
- Apr 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21020 | FL | Primary |
Addresses
Primary practice location
8951 Bonita Beach Rd SE
206
Bonita Springs, FL 34135-4201
Mailing address
28111 Tamberine CT
Unit 1321
Bonita Springs, FL 34135-2926
Phone (201) 647-2721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 10, 2016 through Nov 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21020 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spelios and Associates Naples PA | Past | Accepting new patients | |
| Park Family & Cosmetic Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Naples, FL
- NPI 1861739179
-
- Point of Service
- Naples, FL
- NPI 1194876912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460764800000",
"number": "1396123287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28111 TAMBERINE CT",
"address_2": "UNIT 1321",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341352926",
"telephone_number": "201-647-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8951 BONITA BEACH RD SE",
"address_2": "206",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354201",
"telephone_number": "201-647-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHRA",
"first_name": "TAMER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2016-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
- Matthew Elliott, DPT
- Katelyn Emhoff, PHARMD
- Endocrinology Institute of South FL LLC
- Engle Dentistry Bonita LLC
- Entera Medical LLC
- Maria Espinoza Avila, M.D.
- Essco Naples LLC (Comprehensive Pediatric & Neonatal Clinic)
- Estonna Management LLC (Vitality Compounding Pharmacy)
- Evolution Physical Therapy LLC (Evolution physical therapy)
- Executive Healthcare Solutions (BrightStar Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.