Individual provider Active NPI

Amy Lashay Patri, DMD

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1508435116
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25994 Issued in FL
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

Updated by the provider on Aug 28, 2021

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 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

LicenseStateTypeSpecialty
DN25994FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. General Practice CurrentSince Sep 5, 2021 Accepting new patients
Comfortable Care Dental Health Professionals, P.a. General Practice PastSince Jul 4, 2021 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.

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.

Verify at the official NPI Registry.