Rachel Bass Donovan, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18380 Issued in FL

Practice address

5248 Red Cedar Dr Ste 101
Fort Myers, FL 33907-4522

Phone

(239) 939-4737

NPI assigned

Jul 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1629232186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522",
            "telephone_number": "239-939-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522",
            "telephone_number": "239-939-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "RACHEL",
        "middle_name": "BASS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Domino, APRN
• Ellen Kroog Donald, PT
• Kelly Donatelli, CRNA
• Li Dong I
• Brittanee Donovan, PA-C
• Ryan Joseph Donovan, D.M.D.
• Andy Dorcely, MSOTR/L
• Islande Dorcin, LCSW
• Jocelyn Dorfils, LICENSED OPTICIAN
• Dorlus Healthcare Consulting LLC

• 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 Jun 4, 2010; 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.