Active NPI
Amy Lashay Patri, DMD
- General Practice Dentistry
- Fort Myers, FL
National Provider Identifier
1508435116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN25994
- Practice address
- 16159 Myriad LN
Fort Myers, FL 33908-3483 - Phone
- (239) 220-5408
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN25994 | FL | Primary |
Addresses
Primary practice location
16159 Myriad LN
Fort Myers, FL 33908-3483
Mailing address
16159 Myriad LN
Fort Myers, FL 33908-3483
Phone (239) 220-5408
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 |
|---|---|---|---|
| DN25994 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Current | Accepting new patients |
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Past | Accepting new patients |
Locations
16159 Myriad Ln
Fort Myers, FL 33908
Phone (239) 220-5408
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fort Myers, FL
- NPI 1972141430
-
- General Practice Dentistry
- Fort Myers, FL
- NPI 1093385940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1508435116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16159 MYRIAD LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083483",
"telephone_number": "239-220-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16159 MYRIAD LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083483",
"telephone_number": "239-220-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRI",
"first_name": "AMY",
"middle_name": "LASHAY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25994",
"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 Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.