Individual provider Active NPI

Humberto Quintana Rivas, DDS

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1831939131
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN32302 Issued in FL
Practice address
9090 Daniels Pkwy
Fort Myers, FL 33912-1813
Phone
(786) 616-2217
NPI assigned
May 27, 2024
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 DN32302 FL Primary

Addresses

Primary practice location

9090 Daniels Pkwy
Fort Myers, FL 33912-1813

Mailing address

12520 Walden Run Dr
Fort Myers, FL 33913-8148
Phone (786) 616-2217

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

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1831939131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 WALDEN RUN DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138148",
            "telephone_number": "786-616-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 DANIELS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121813",
            "telephone_number": "786-616-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA RIVAS",
        "first_name": "HUMBERTO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-27",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN32302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.