Organization Active NPI

Marianna Zadov P.a.

Doing business as Polo Dental of Naples

  • Dentist
  • Naples, FL
National Provider Identifier
1568973246
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARIANNA ZADOV P.A.
Doing business as
Polo Dental of Naples
Practice address
4280 Tamiami TRL E Ste 201
Naples, FL 34112-6701
Phone
(561) 241-7656
Fax
(561) 948-2081
NPI assigned
Oct 20, 2017
Last updated
Sep 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Marianna ZadovNPI 1104903301
Title
Owner
Phone
(561) 305-2958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4280 Tamiami TRL E Ste 201
Naples, FL 34112-6701

Mailing address

4280 Tamiami TRL E Ste 201
Naples, FL 34112-6701

Other names 1

  • Polo Dental of Naples Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marianna Zadov PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4280 Tamiami Trl E
Ste 201
Naples, FL 34112
Phone (239) 300-2398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1568973246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126701",
            "telephone_number": "561-241-7656",
            "fax_number": "561-948-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA ZADOV P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ZADOV",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-305-2958"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polo Dental of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.