Individual provider Active NPI

Andrew Haidet

  • Dentist
  • Naples, FL
National Provider Identifier
1760822928
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20247 Issued in FL
Practice address
225 Banyan Blvd Ste 200
Naples, FL 34102-5156
Phone
(239) 262-8200
NPI assigned
Jul 2, 2013
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20247 FL Primary

Addresses

Primary practice location

225 Banyan Blvd Ste 200
Naples, FL 34102-5156

Mailing address

12260 Tamiami TRL E
Naples, FL 34113-7937
Phone (239) 530-3335

Other practice location 1

12260 Tamiami Trl E
Naples, FL 34113-7937
Phone (239) 530-3335

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
I20150722004441 FL Order and Referring Only - DentistPractitioner - Dentist 8729391560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, PA Past Accepting new patients
Comfortable Care Dental Health Professionals, P.a. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1760822928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137937",
            "telephone_number": "239-530-3335",
            "fax_number": "239-774-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BANYAN BLVD STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025156",
            "telephone_number": "239-262-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12260 Tamiami Trl E",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137937",
            "country_code": "US",
            "telephone_number": "239-530-3335",
            "fax_number": "239-774-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDET",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.