Organization Active NPI

Dean Hildahl, M.D. P.a.

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1760589048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME72896 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
41706OtherFLBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.