Dima Ghandour, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18045 Issued in FL

Practice address

4077 Tamiami TRL N
Suite D203
Naples, FL 34103-8737

Phone

(239) 658-3721

Fax

(239) 263-1932

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1891987384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3721",
            "fax_number": "239-263-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 TAMIAMI TRL N",
            "address_2": "SUITE D203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038737",
            "telephone_number": "239-658-3721",
            "fax_number": "239-263-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANDOUR",
        "first_name": "DIMA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017212900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Nicole German, LMHC
• Shonkeya German
• Jennifer Gerth, PHYSICIAN ASSISTANT
• Jenna Getman
• GH Ultrasound & Imaging LLC
• Vidur Pravin Ghantiwala, DO
• Fariba Ghazizadeh, MD
• Melissa Ghirimoldi, MS, RMHCI
• Thomas Giannina, D.M.D.
• Nicholas Giaramita, DPT

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.