Active NPI
Dean Hildahl, M.D. P.a.
- Obstetrics & Gynecology Physician
- Naples, FL
National Provider Identifier
1760589048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME72896
- Legal business name
- DEAN HILDAHL, M.D. P.A.
- Practice address
- 5500 Bryson Dr Ste 301
Naples, FL 34109-0921 - Phone
- (239) 593-5510
- Fax
- (239) 593-5414
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Boyd Hildahl, MD
- Title
- Physician/ Owner
- Phone
- (239) 593-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME72896 | FL | Primary |
Addresses
Primary practice location
5500 Bryson Dr Ste 301
Naples, FL 34109-0921
Mailing address
5500 Bryson Dr Ste 301
Naples, FL 34109-0921
Phone (239) 593-5510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41706 | Other | FL | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760589048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 BRYSON DR STE 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341090921",
"telephone_number": "239-593-5510",
"fax_number": "239-593-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BRYSON DR STE 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341090921",
"telephone_number": "239-593-5510",
"fax_number": "239-593-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN HILDAHL, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILDAHL",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "PHYSICIAN/ OWNER",
"authorized_official_telephone_number": "239-593-5510",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME72896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "41706",
"state": "FL"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.