NPIMap

Organization Active NPI

Bonita Dental Care,PA

  • Dental Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1699152041
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19591 Issued in FL
Legal business name
BONITA DENTAL CARE,PA
Practice address
8951 Bonita Beach Rd SE
#206
Bonita Springs, FL 34135-4201
Phone
(239) 992-8555
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Ms. Gisela Guerrero
Title
Office Manager
Phone
(239) 992-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN19591 FL Primary

Addresses

Primary practice location

8951 Bonita Beach Rd SE
#206
Bonita Springs, FL 34135-4201

Mailing address

8951 Bonita Beach Rd SE
#206
Bonita Springs, FL 34135-4201
Phone (239) 992-8555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1699152041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "#206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "#206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA DENTAL CARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "GISELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-992-8555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.