Individual provider Active NPI

Erica Danielle Anderson, RDH

  • Dental Hygienist
  • Naples, FL
National Provider Identifier
1760058333
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH20239 Issued in FL
Practice address
12692 Tamiami TRL E
Naples, FL 34113-8431
Phone
(239) 417-6453
Fax
(239) 775-6628
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH20239 FL Primary

Addresses

Primary practice location

12692 Tamiami TRL E
Naples, FL 34113-8431

Mailing address

1101 Milano Dr
Naples, FL 34103-8947
Phone (239) 438-5341

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
DH20239FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Creek Dentistry, Inc. Dental Hygienist CurrentSince Jun 6, 2021 Accepting new patients
Smile Design Eagle Creek LLC PastSince Jun 6, 2021 Accepting new patients

Locations

12692 Tamiami Trl E
Naples, FL 34113
Phone (239) 417-6453

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1760058333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MILANO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038947",
            "telephone_number": "239-438-5341",
            "fax_number": "239-775-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12692 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138431",
            "telephone_number": "239-417-6453",
            "fax_number": "239-775-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERICA",
        "middle_name": "DANIELLE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH20239",
            "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 Jun 3, 2021; 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.