Individual provider Active NPI

Luz Adriana Gentile Eraso, DDS

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1477397586
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN29057 Issued in FL
Practice address
9140 Galleria CT
Naples, FL 34109-4343
Phone
(239) 399-5358
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29057 FL
General Practice Dentistry 1223G0001X DN29057 FL Primary

Addresses

Primary practice location

9140 Galleria CT
Naples, FL 34109-4343

Mailing address

20301 Kingmont Dr
Estero, FL 33928-9685
Phone (949) 326-1393

Other identifiers 1

IdentifierTypeStateIssuer
1508977281OtherFLGALLERIA DENTISTRY

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

LicenseStateTypeSpecialty
DN29057FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1477397586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 KINGMONT DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289685",
            "telephone_number": "949-326-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 GALLERIA CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094343",
            "telephone_number": "239-399-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE ERASO",
        "first_name": "LUZ",
        "middle_name": "ADRIANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29057",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GALLERIA DENTISTRY",
            "identifier": "1508977281",
            "state": "FL"
        }
    ],
    "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 Apr 21, 2025; 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.