Individual provider Active NPI

Patricia Primero, D.D.S P.A

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1811079254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 12193 Issued in FL
Practice address
9010 Strada Stell CT
Suite # 101
Naples, FL 34109-4424
Phone
(239) 254-4480
Fax
(239) 254-8575
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

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 DN 12193 FL Primary

Addresses

Primary practice location

9010 Strada Stell CT
Suite # 101
Naples, FL 34109-4424

Mailing address

9010 Strada Stell CT
Suite # 101
Naples, FL 34109-4424
Phone (239) 254-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN 12193FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Primero D.D.S., P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811079254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 STRADA STELL CT",
            "address_2": "SUITE # 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094424",
            "telephone_number": "239-254-4480",
            "fax_number": "239-254-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 STRADA STELL CT",
            "address_2": "SUITE # 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094424",
            "telephone_number": "239-254-4480",
            "fax_number": "239-254-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMERO",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 12193",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.