Individual provider Active NPI

Jessica Winter Poe, DDS

  • General Practice Dentistry
  • North Fort Myers, FL
National Provider Identifier
1932340536
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17446 Issued in FL
Practice address
19001North Tamiami Trail
Suite #3171
North Fort Myers, FL 33903
Phone
(239) 731-8811
Fax
(239) 731-2016
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17446 FL Primary

Addresses

Primary practice location

19001North Tamiami Trail
Suite #3171
North Fort Myers, FL 33903

Mailing address

19001North Tamiami Trail
Suite #3171
North Fort Myers, FL 33903
Phone (239) 731-8811

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
DN17446FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1932340536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001NORTH TAMIAMI TRAIL",
            "address_2": "SUITE #3171",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33903",
            "telephone_number": "239-731-8811",
            "fax_number": "239-731-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001NORTH TAMIAMI TRAIL",
            "address_2": "SUITE #3171",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33903",
            "telephone_number": "239-731-8811",
            "fax_number": "239-731-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "JESSICA",
        "middle_name": "WINTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.