Active NPI
Donald L Lintzenich, D.D.S.
- Dentist
- Fort Myers, FL
National Provider Identifier
1467674473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN004641
- Practice address
- 13432 Palm Beach Blvd
Fort Myers, FL 33905 - Phone
- (239) 694-0834
- Fax
- (239) 694-7014
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN004641 | FL | Primary |
Addresses
Primary practice location
13432 Palm Beach Blvd
Fort Myers, FL 33905
Mailing address
4789 Alberton CT
#3204
Naples, FL 34105
Phone (239) 694-9993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004641 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eduardo Correa DDS PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Fort Myers, FL
- NPI 1619837770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467674473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4789 ALBERTON CT",
"address_2": "#3204",
"city": "NAPLES",
"state": "FL",
"postal_code": "34105",
"telephone_number": "239-694-9993",
"fax_number": "239-561-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13432 PALM BEACH BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-694-0834",
"fax_number": "239-694-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINTZENICH",
"first_name": "DONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN004641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.