Individual provider Active NPI

Andreea-Alexandra Cosma, D.M.D

  • Pediatric Dentistry
  • Naples, FL
National Provider Identifier
1891248035
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
34412 Issued in TX
Practice address
7505 Grand Lely Dr
Naples, FL 34113
Phone
(239) 775-3052
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1603 FL
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 34412 TX Primary

Addresses

Primary practice location

7505 Grand Lely Dr
Naples, FL 34113

Mailing address

10177 W Grand Pkwy S Ste 103
Richmond, TX 77407-8643
Phone (346) 702-3085

Other practice location 1

7505 Grand Lely Dr
Naples, FL 34113-1753
Phone (239) 775-3052

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

LicenseStateTypeSpecialty
34412TXMDPediatric Dentist
1603FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Fort Bend, PC Dentist Past Accepting new patients

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, 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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1891248035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 W GRAND PKWY S STE 103",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078643",
            "telephone_number": "346-702-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND LELY DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34113",
            "telephone_number": "239-775-3052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7505 Grand Lely Dr",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341131753",
            "country_code": "US",
            "telephone_number": "239-775-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSMA",
        "first_name": "ANDREEA-ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "1603",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "34412",
            "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 Aug 6, 2018; 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.