Organization Active NPI

Breast Center of Naples PLLC

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1932705613
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, DONPI 1447489638
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608002229 FL Part B Supplier - Clinic/Group Practice 1759781065 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

3555 Kraft Rd
Unit 350
Naples, FL 34105
Phone (239) 238-1210

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
OS17230OtherFLFLORIDA 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.

Verify at the official NPI Registry.