Individual provider Active NPI

Armaghan Aimee Dehbozorgi, DMD

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1437404720
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19889 Issued in FL
Practice address
25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895
Phone
(239) 947-7481
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19889 FL Primary

Addresses

Primary practice location

25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895

Mailing address

25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895
Phone (239) 947-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002246 PA Order and Referring Only - DentistPractitioner - Dentist 7012227580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19889FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1437404720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 CHAMBER OF COMMERCE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357895",
            "telephone_number": "239-947-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 CHAMBER OF COMMERCE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357895",
            "telephone_number": "239-947-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHBOZORGI",
        "first_name": "ARMAGHAN",
        "middle_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "19889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.