Individual provider Active NPI

Kathryn Ann Ringland, D.D.S

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1780703629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013366 Issued in FL
Practice address
9400 Gladiolus Dr
107
Fort Myers, FL 33908-6699
Phone
(239) 489-1171
Fax
(239) 489-4336
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013366 FL Primary

Addresses

Primary practice location

9400 Gladiolus Dr
107
Fort Myers, FL 33908-6699

Mailing address

1618 Edith Esplanade
Cape Coral, FL 33904-5614
Phone (239) 549-9820

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
I20170128000344 FL Order and Referring Only - DentistPractitioner - Dentist 3678855509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013366FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780703629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 EDITH ESPLANADE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045614",
            "telephone_number": "239-549-9820",
            "fax_number": "239-489-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-489-1171",
            "fax_number": "239-489-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGLAND",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "013366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.