Active NPI
Breast Center of Naples PLLC
- Diagnostic Radiology Physician
- Naples, FL
National Provider Identifier
1932705613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BREAST CENTER OF NAPLES PLLC
- Practice address
- 3555 Kraft Rd Ste 350
Naples, FL 34105-5037 - Phone
- (239) 238-1210
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Krystal Swarts Smith, DO
- Title
- Owner
- Phone
- (601) 466-4930
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Naples, FL
- NPI 1447489638
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Vicksburg, MS
- NPI 1740360056
Diagnostic Radiology, FL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210608002229 | FL | Part B Supplier - Clinic/Group Practice | 1759781065 |
Receives reassigned benefits from 2 practitioners Practice locations: Naples, FL |
National Provider Directory
National Provider DirectoryLocations
3555 Kraft Rd
Unit 350
Naples, FL 34105
Phone (239) 238-1210
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3555 Kraft Rd Ste 350
Naples, FL 34105-5037
Mailing address
3555 Kraft Rd Ste 350
Naples, FL 34105-5037
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS17230 | Other | FL | FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2021.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1932705613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 KRAFT RD STE 350",
"city": "NAPLES",
"state": "FL",
"postal_code": "341055037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 KRAFT RD STE 350",
"city": "NAPLES",
"state": "FL",
"postal_code": "341055037",
"telephone_number": "239-238-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAST CENTER OF NAPLES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "SWARTS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-466-4930",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE",
"identifier": "OS17230",
"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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.