Individual provider Active NPI

Rayven Chiquita-Simone Newberry, DDS

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1548124274
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN31198 Issued in FL
Practice address
17021 Three Oaks Marketplace Dr Unit 101
Fort Myers, FL 33912-2587
Phone
(239) 955-8101
Fax
(239) 955-8102
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 DN31198 FL Primary

Addresses

Primary practice location

17021 Three Oaks Marketplace Dr Unit 101
Fort Myers, FL 33912-2587

Mailing address

12841 Cypress Cape Cir Unit 366
Fort Myers, FL 33966-1618

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
DN31198FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. CurrentSince Dec 21, 2025 Accepting new patients
Comfortable Care Dental Health Professionals, P.a. General Practice CurrentSince Dec 21, 2025 Accepting new patients

Locations

17021 Three Oaks Marketplace Dr
Unit 101
Fort Myers, FL 33912
Phone (239) 955-8101

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": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1548124274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 CYPRESS CAPE CIR UNIT 366",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 THREE OAKS MARKETPLACE DR UNIT 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122587",
            "telephone_number": "239-955-8101",
            "fax_number": "239-955-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "RAYVEN",
        "middle_name": "CHIQUITA-SIMONE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31198",
            "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 Dec 16, 2025; 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.