Individual provider Active NPI

Laura Ann Kaiser, D.M.D.

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1902004062
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0014872 Issued in FL
Practice address
28331 S Tamiami TRL Ste 13
Bonita Springs, FL 34134-3215
Phone
(239) 949-8220
Fax
(239) 948-7704
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0014872 FL Primary

Addresses

Primary practice location

28331 S Tamiami TRL Ste 13
Bonita Springs, FL 34134-3215

Mailing address

28331 S Tamiami TRL Ste 13
Bonita Springs, FL 34134-3215
Phone (239) 949-8220

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
DN0014872FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1902004062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28331 S TAMIAMI TRL STE 13",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343215",
            "telephone_number": "239-949-8220",
            "fax_number": "239-948-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28331 S TAMIAMI TRL STE 13",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343215",
            "telephone_number": "239-949-8220",
            "fax_number": "239-948-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0014872",
            "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 Jul 10, 2007; 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.