Individual provider Active NPI

Paul David Mabe, D.D.S.

  • Dentist
  • Naples, FL
National Provider Identifier
1891804860
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 15439 Issued in FL
Practice address
877 111TH Ave N
Suite 3
Naples, FL 34108-1866
Phone
(239) 566-7737
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6651 KS
Dentist 122300000X DN 15439 FL Primary

Addresses

Primary practice location

877 111TH Ave N
Suite 3
Naples, FL 34108-1866

Mailing address

877 111TH Ave N
Suite 3
Naples, FL 34108-1866
Phone (239) 566-7737

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
I20190313001127 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769722636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 15439FLMDDentist
6651KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Family Dentist, Inc. CurrentSince Jul 19, 2020 Accepting new patients

Locations

877 111th Ave N
Ste 3
Naples, FL 34108
Phone (239) 566-7737

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1891804860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081866",
            "telephone_number": "239-566-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081866",
            "telephone_number": "239-566-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6651",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 15439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.