Active NPI
David Wayne Stovall, DVM
- Veterinarian
- Bonita Springs, FL
National Provider Identifier
1881967982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 11381
- Practice address
- 28400 Old 41 Rd
Suite 1
Bonita Springs, FL 34135-6812 - Phone
- (239) 992-8387
- NPI assigned
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 11381 | FL | Primary |
Addresses
Primary practice location
28400 Old 41 Rd
Suite 1
Bonita Springs, FL 34135-6812
Mailing address
28400 Old 41 Rd
Suite 1
Bonita Springs, FL 34135-6812
Phone (239) 992-8387
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11381 | FL | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1881967982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28400 OLD 41 RD",
"address_2": "SUITE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341356812",
"telephone_number": "239-992-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28400 OLD 41 RD",
"address_2": "SUITE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341356812",
"telephone_number": "239-992-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "FL",
"license": "11381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
- Gary Michael Stevens, DMD
- Julianne Marie Stewart, APN , WHNP
- Katherine Lynn Stimmel, RDN
- David John Stockhausen Jr., DPT
- Dawn Duchesne Stoner, ARNP
- Ingerbenedikte Stovall, MA, CCC-SLP; BCTMB
- Amber Nicole Straub, RN
- Kristine Strumpfler, APRN
- Stanislaw J Strycharz, PSY.D.
- Donald Raymond Sugarman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.