Organization Active NPI

Naples Family Dentist, Inc.

Doing business as Naples Family Dentist

  • Dental Clinic/Center
  • Naples, FL
National Provider Identifier
1396363685
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NAPLES FAMILY DENTIST, INC.
Doing business as
Naples Family Dentist
Practice address
877 111TH Ave N Ste 3
Naples, FL 34108-1853
Phone
(239) 566-7737
NPI assigned
Jul 13, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Mrs. Yvette Mabe
Title
Secretary of Corporation
Phone
(239) 566-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

877 111TH Ave N Ste 3
Naples, FL 34108-1853

Mailing address

877 111TH Ave N Ste 3
Naples, FL 34108-1853
Phone (239) 566-7737

Other names 1

  • Naples Family Dentist Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Smile@naplesfamilydentist.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2211679Naples Family Dentist Inc877 111TH Ave N Ste 3, Naples, FL 34108Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

877 111th Ave N
Ste 3
Naples, FL 34108
Phone (239) 566-7737

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": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1396363685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N STE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081853",
            "telephone_number": "239-566-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N STE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081853",
            "telephone_number": "239-566-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES FAMILY DENTIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "MABE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "SECRETARY OF CORPORATION",
        "authorized_official_telephone_number": "239-566-7737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smile@naplesfamilydentist.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "877 111th Ave N Ste 3",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341081853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Naples Family Dentist",
            "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 Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.