Active NPI
George Michael Womble, DDS
- Dentist
- Naples, FL
National Provider Identifier
1649440264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN7061
- Practice address
- 6100 Trail Blvd North
Suite 1
Naples, FL 34108 - Phone
- (239) 597-4944
- Fax
- (239) 514-0455
- NPI assigned
- Mar 11, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN7061 | FL | Primary |
Addresses
Primary practice location
6100 Trail Blvd North
Suite 1
Naples, FL 34108
Mailing address
6100 Trail Blvd North
Suite 1
Naples, FL 34108
Phone (239) 597-4944
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 |
|---|---|---|---|
| DN7061 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1649440264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 TRAIL BLVD NORTH",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "34108",
"telephone_number": "239-597-4944",
"fax_number": "239-514-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 TRAIL BLVD NORTH",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "34108",
"telephone_number": "239-597-4944",
"fax_number": "239-514-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMBLE",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN7061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 11, 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.