Individual provider Active NPI

William Edward Starner, D.D.S.

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1841338399
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17028 Issued in FL
Practice address
18990 S Tamiami TRL Ste 110
Fort Myers, FL 33908-4737
Phone
(239) 482-2296
Fax
(239) 482-7732
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33124 NY
General Practice Dentistry 1223G0001X DN17028 FL Primary

Addresses

Primary practice location

18990 S Tamiami TRL Ste 110
Fort Myers, FL 33908-4737

Mailing address

23452 Sanabria Loop
Bonita Springs, FL 34135-5380
Phone (518) 588-9788

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
I20201016000496 FL Order and Referring Only - DentistPractitioner - Dentist 7214357003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17028FLMDGeneral Practice Dentistry
33124NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. PastSince Sep 27, 2020 Accepting new patients

Locations

18990 S Tamiami Trl
Ste 110
Fort Myers, FL 33908
Phone (239) 482-2296

Networks

  • Freedom Health HMO Network

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1841338399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23452 SANABRIA LOOP",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355380",
            "telephone_number": "518-588-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 S TAMIAMI TRL STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084737",
            "telephone_number": "239-482-2296",
            "fax_number": "239-482-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNER",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33124",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.