Organization Active NPI

Naples Dental Studio, LLC

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1417389883
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10506 Issued in FL
Legal business name
NAPLES DENTAL STUDIO, LLC
Practice address
730 Goodlette Rd N
Suite 206
Naples, FL 34102-5616
Phone
(239) 262-4595
Fax
(239) 649-6702
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Dr. Travis Clinton Goss Jr., DMD
Title
Owner
Phone
(239) 262-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN10506 FL Primary

Addresses

Primary practice location

730 Goodlette Rd N
Suite 206
Naples, FL 34102-5616

Mailing address

730 Goodlette Rd N
Suite 206
Naples, FL 34102-5616
Phone (239) 262-4595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1417389883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD N",
            "address_2": "SUITE 206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025616",
            "telephone_number": "239-262-4595",
            "fax_number": "239-649-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD N",
            "address_2": "SUITE 206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025616",
            "telephone_number": "239-262-4595",
            "fax_number": "239-649-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES DENTAL STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-262-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10506",
            "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 Aug 7, 2013; 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.