Active NPI
Fernando A Neira, DDS
- General Practice Dentistry
- Fort Myers, FL
National Provider Identifier
1497001564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19891
- Practice address
- 9330 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33966-6505 - Phone
- (239) 337-1008
- NPI assigned
- Jul 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN19891 | FL | Primary |
Addresses
Primary practice location
9330 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33966-6505
Mailing address
12503 SW 94TH Ter
Miami, FL 33186-1889
Phone (786) 380-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161228000041 | FL | Order and Referring Only - Dentist | 1658652912 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19891 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1497001564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12503 SW 94TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861889",
"telephone_number": "786-380-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 BEN C PRATT/6 MILE CYPRESS PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666505",
"telephone_number": "239-337-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIRA",
"first_name": "FERNANDO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN19891",
"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 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.