Active NPI
Dentists on Bonita Beach, P.a.
- General Practice Dentistry
- Bonita Springs, FL
National Provider Identifier
1871400754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTS ON BONITA BEACH, P.A.
- Practice address
- 3300 Bonita Beach Rd Ste 131
Bonita Springs, FL 34134-4165 - Phone
- (239) 206-4814
- Fax
- (239) 221-0095
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Shima, DDS
- Title
- Owner
- Phone
- (239) 206-4814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3300 Bonita Beach Rd Ste 131
Bonita Springs, FL 34134-4165
Mailing address
PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890
Other names 1
- Dentists on Bonita Beach
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1871400754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660041",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660041",
"telephone_number": "714-845-8890",
"fax_number": "303-952-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 BONITA BEACH RD STE 131",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344165",
"telephone_number": "239-206-4814",
"fax_number": "239-221-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS ON BONITA BEACH, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "SHIMA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-206-4814",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists on Bonita Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.