Individual provider Active NPI

Angela Harney-Nash, DMD

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1538355029
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 17944 Issued in FL
Practice address
7780 Cambridge Manor PL
Suite D
Fort Myers, FL 33907-3656
Phone
(239) 275-7722
NPI assigned
Sep 19, 2007
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 DN 17944 FL Primary

Addresses

Primary practice location

7780 Cambridge Manor PL
Suite D
Fort Myers, FL 33907-3656

Mailing address

7780 Cambridge Manor PL
Suite D
Fort Myers, FL 33907-3656
Phone (239) 275-7722

Other names 1

  • Dr. Anglela Matrisciano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 17944FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1538355029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 CAMBRIDGE MANOR PL",
            "address_2": "SUITE D",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073656",
            "telephone_number": "239-275-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 CAMBRIDGE MANOR PL",
            "address_2": "SUITE D",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073656",
            "telephone_number": "239-275-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNEY-NASH",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGLELA",
            "last_name": "MATRISCIANO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.