Organization Active NPI

North Naples Pediatric Center

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1922400340
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0065421 Issued in FL
Legal business name
NORTH NAPLES PEDIATRIC CENTER
Practice address
9160 Galleria Court
Naples, FL 34109
Phone
(239) 514-8787
Fax
(239) 514-1965
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Dina A Badra, M.D.
Title
Physican
Phone
(239) 514-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0065421 FL Primary

Addresses

Primary practice location

9160 Galleria Court
Naples, FL 34109

Mailing address

9160 Galleria Court
Naples, FL 34109
Phone (239) 514-8787

Other identifiers 1

IdentifierTypeStateIssuer
376548200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1922400340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 GALLERIA COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-514-8787",
            "fax_number": "239-514-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 GALLERIA COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-514-8787",
            "fax_number": "239-514-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NAPLES PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BADRA",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "239-514-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376548200",
            "state": "FL"
        }
    ],
    "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 Sep 17, 2014; 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.