Lisandra Companioni, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25923 Issued in FL

Practice address

2675 Winkler Ave Ste 150
Fort Myers, FL 33901-9328

Phone

(239) 204-2780

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1790356376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 W 73RD PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165425",
            "telephone_number": "786-488-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 150",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "239-204-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPANIONI",
        "first_name": "LISANDRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Resource Network of Florida, LLC
• Community Resource Network of Florida, LLC
• Community Resource Network of Florida, LLC
• Community Therapy Partners LLC
• Companion Caregiver Services Inc
• Complete Care Home Health Agency Inc
• Comprehensive Holistic Rehab Clinic
• Comprehensive Wound Care Centers LLC
• Yenma Concepcion Vazquez, MA 61848
• Eric Concepcion

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.