Individual provider Active NPI

Fernando A Neira, DDS

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1497001564
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19891 Issued in FL
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

Updated by the provider on Jul 26, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000041 FL Order and Referring Only - DentistPractitioner - Dentist 1658652912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19891FLMDGeneral 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

Verify at the official NPI Registry.