Active NPI
Gregory Asher Pette, D.M.D., M.S.
- Periodontics
- Bonita Springs, FL
National Provider Identifier
1891921110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN18291
- Practice address
- 25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895 - Phone
- (239) 947-7481
- NPI assigned
- Jun 1, 2009
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN18291 | FL | Primary |
Addresses
Primary practice location
25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895
Mailing address
25195 Chamber of Commerce Dr
Bonita Springs, FL 34135-7895
Phone (239) 947-7481
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18291 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1891921110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25195 CHAMBER OF COMMERCE DR",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341357895",
"telephone_number": "239-947-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25195 CHAMBER OF COMMERCE DR",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341357895",
"telephone_number": "239-947-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTE",
"first_name": "GREGORY",
"middle_name": "ASHER",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-01",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN18291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.