Active NPI
Ivan E Terrero, DDS
- Dentist
- Bonita Springs, FL
National Provider Identifier
1720066673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17477
- Practice address
- 26800 S Tamiami TRL
Suite 350
Bonita Springs, FL 34134-4349 - Phone
- (239) 676-9696
- Fax
- (239) 221-7161
- NPI assigned
- Jan 1, 2006
- Last updated
- Apr 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 043274 | NY | |
| Dentist | 122300000X | DN17477 | FL | Primary |
Addresses
Primary practice location
26800 S Tamiami TRL
Suite 350
Bonita Springs, FL 34134-4349
Mailing address
26800 S Tamiami TRL
Suite 350
Bonita Springs, FL 34134-4349
Phone (239) 676-9696
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Sleep Florida PA | Current | Accepting new patients | |
| Ascend Dental Goup PA | Current | Accepting new patients | |
| Towncare Dental of Bonita Springs PA | Past | Accepting new patients |
Locations
16565 Vanderbilt Dr
Bonita Springs, FL 34134
Phone (239) 322-1262
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Pensacola, FL
- NPI 1902434608
-
- Oral and Maxillofacial Surgery (Dentist)
- Bonita Springs, FL
- NPI 1770437477
-
- General Practice Dentistry
- Bonita Springs, FL
- NPI 1962641241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1720066673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26800 S TAMIAMI TRL",
"address_2": "SUITE 350",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344349",
"telephone_number": "239-676-9696",
"fax_number": "239-221-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 S TAMIAMI TRL",
"address_2": "SUITE 350",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344349",
"telephone_number": "239-676-9696",
"fax_number": "239-221-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRERO",
"first_name": "IVAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-01",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "043274",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17477",
"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 Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.