Organization Active NPI

Bonita Wellness Center

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1427512540
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BONITA WELLNESS CENTER
Practice address
8951 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4202
Phone
(239) 992-8555
Fax
(239) 992-8644
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Elizabeth Ciuro
Title
Ar Manager
Phone
(239) 992-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8951 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4202

Mailing address

8951 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4202
Phone (239) 992-8555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1427512540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE STE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354202",
            "telephone_number": "239-992-8555",
            "fax_number": "239-992-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE STE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354202",
            "telephone_number": "239-992-8555",
            "fax_number": "239-992-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "CIURO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "239-992-8555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.