Adriana Gabaldon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DRP 496 Issued in FL

Practice address

3600 Broadway Ste a
Fort Myers, FL 33901-8002

Phone

(239) 344-2335

Fax

(239) 936-6228

NPI assigned

May 30, 2007

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1366748402
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1538360417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21571 BELLA TERRA BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287345",
            "telephone_number": "305-764-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018002",
            "telephone_number": "239-344-2335",
            "fax_number": "239-936-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALDON",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DRP 496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001370500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ga Patrick Anesthesia PA
• David G Gaar, MD
• Ivette Marie Gaar, CRNA
• Micah David Gaar, M.D.
• Byron Charles Gaarder, PA-C
• Gables Rehab Center Corp
• Sherrie A Gabor, APRN-CNP
• Diana Gadus, RMHCI
• Shani L Gadwaw, CRNP
• Rhonda Elaine Gage

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.