Organization Active NPI

Dental Designs of Fort Myers, LLC

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1952540270
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16414 Issued in FL
Legal business name
DENTAL DESIGNS OF FORT MYERS, LLC
Practice address
3230 Forum Blvd Ste 501
Fort Myers, FL 33905-5580
Phone
(239) 628-1300
Fax
(239) 262-7970
NPI assigned
Feb 10, 2009
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. Ramon Padilla, DDS
Title
Owner/MGR
Phone
(239) 628-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16414 FL Primary

Addresses

Primary practice location

3230 Forum Blvd Ste 501
Fort Myers, FL 33905-5580

Mailing address

3230 Forum Blvd Ste 501
Fort Myers, FL 33905-5580
Phone (239) 628-1300

National Provider Directory

National Provider Directory

Locations

3220 Forum Blvd
Unit 104
Fort Myers, FL 33905
Phone (239) 628-1300

3230 Forum Blvd
Ste 501
Fort Myers, FL 33905
Phone (239) 628-1300

5048 Tamiami Trl N
Naples, FL 34103
Phone (239) 262-6364

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1952540270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 FORUM BLVD STE 501",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055580",
            "telephone_number": "239-628-1300",
            "fax_number": "239-262-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 FORUM BLVD STE 501",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055580",
            "telephone_number": "239-628-1300",
            "fax_number": "239-262-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DESIGNS OF FORT MYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "239-628-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "16414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.