Individual provider Active NPI

Daniela Vilanova

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1669113650
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27078 Issued in FL
Practice address
8004 Summerlin Lakes Dr
Fort Myers, FL 33907-1817
Phone
(239) 267-7385
NPI assigned
Apr 5, 2022
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 DN27078 FL Primary

Addresses

Primary practice location

8004 Summerlin Lakes Dr
Fort Myers, FL 33907-1817

Mailing address

2220 W 1St St Apt 126
Fort Myers, FL 33901-3352
Phone (305) 613-4786

Other practice location 1

2609 Santa Barbara Blvd Ste 101
Cape Coral, FL 33914-4437
Phone (239) 652-2039

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
DN27078FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of Fort Myers PLLC CurrentSince Dec 24, 2023 Accepting new patients
Horizon One Dental LLC General Practice PastSince Dec 24, 2023 Accepting new patients

Locations

8004 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 267-7385

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1669113650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W 1ST ST APT 126",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013352",
            "telephone_number": "305-613-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071817",
            "telephone_number": "239-267-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Santa Barbara Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144437",
            "country_code": "US",
            "telephone_number": "239-652-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILANOVA",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27078",
            "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 18, 2023; 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.