Active NPI
Jon P. Sipos, DDS
- General Practice Dentistry
- Fort Myers, FL
National Provider Identifier
1578749016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0010980
- Practice address
- 7319 Sanibel Blvd
Fort Myers, FL 33967-3338 - Phone
- (239) 267-3232
- NPI assigned
- Jan 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0010980 | FL | Primary |
Addresses
Primary practice location
7319 Sanibel Blvd
Fort Myers, FL 33967-3338
Mailing address
7319 Sanibel Blvd
Fort Myers, FL 33967-3338
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0010980 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1578749016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 SANIBEL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339673338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 SANIBEL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339673338",
"telephone_number": "239-267-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPOS",
"first_name": "JON",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0010980",
"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 Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.