NPIMap

Organization Active NPI

Daniels Modern Dentistry, PA

Doing business as Daniels Modern Dentistry

  • Dentist
  • Fort Myers, FL
National Provider Identifier
1952892291
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DANIELS MODERN DENTISTRY, PA
Doing business as
Daniels Modern Dentistry
Practice address
6871 Daniels Parkway
Suite 100
Fort Myers, FL 33912
Phone
(239) 288-0537
NPI assigned
May 22, 2018
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Katie L McCann Lee, DDS
Title
Owner/DDS
Phone
(239) 288-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

6871 Daniels Parkway
Suite 100
Fort Myers, FL 33912

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8280

Other names 1

  • DANIELS MODERN DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

6871 Daniels Pkwy
Ste 100
Fort Myers, FL 33912
Phone (239) 288-0537

Practitioners & affiliated clinicians

Practitioners 8

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1952892291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 DANIELS PARKWAY",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-288-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS MODERN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCANN LEE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "239-288-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIELS MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2022; 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.