Individual provider Active NPI

Barbara A. Fueredi, D.D.S.

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1700906252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0010283 Issued in FL
Practice address
4413 Outer Dr
Naples, FL 34112-6707
Phone
(239) 775-2455
Fax
(239) 775-2473
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN0010283 FL Primary

Addresses

Primary practice location

4413 Outer Dr
Naples, FL 34112-6707

Mailing address

4413 Outer Dr
Naples, FL 34112-6707
Phone (239) 775-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323002731 FL Order and Referring Only - DentistPractitioner - Dentist 7214234939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0010283FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Randold Binns DMD PLLC PastSince Mar 28, 2021 Accepting new patients
Clary and Fueredi DDS General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700906252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 OUTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126707",
            "telephone_number": "239-775-2455",
            "fax_number": "239-775-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 OUTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126707",
            "telephone_number": "239-775-2455",
            "fax_number": "239-775-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUEREDI",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0010283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.