Organization Active NPI

Cosmetic & Implant Dentistry of Naples

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1417373762
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14951 Issued in FL
Legal business name
COSMETIC & IMPLANT DENTISTRY OF NAPLES
Practice address
5390 Park Central CT
Naples, FL 34109-5923
Phone
(239) 597-4944
Fax
(239) 514-0455
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. William Nicholas Sullivan, D.D.S.NPI 1194995720
Title
Owner
Phone
(239) 597-4944

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN14951 FL Primary

Addresses

Primary practice location

5390 Park Central CT
Naples, FL 34109-5923

Mailing address

5390 Park Central CT
Naples, FL 34109-5923
Phone (239) 597-4944

National Provider Directory

National Provider Directory

Locations

5390 Park Central Ct
Naples, FL 34109
Phone (239) 598-9599

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": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1417373762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 PARK CENTRAL CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095923",
            "telephone_number": "239-597-4944",
            "fax_number": "239-514-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 PARK CENTRAL CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095923",
            "telephone_number": "239-597-4944",
            "fax_number": "239-514-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & IMPLANT DENTISTRY OF NAPLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-597-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14951",
            "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 Mar 11, 2014; 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.