Active NPI
Dental Specialty Center of Naples, PA
- Dentist
- Naples, FL
National Provider Identifier
1982940185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL SPECIALTY CENTER OF NAPLES, PA
- Practice address
- 2332 Pine Ridge Rd
Naples, FL 34109-2003 - Phone
- (239) 213-1733
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Gomez
- Title
- Provider Relations Specialist
- Phone
- (305) 274-2499
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Endodontics | 1223E0200X | |||
| Periodontics | 1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
2332 Pine Ridge Rd
Naples, FL 34109-2003
Mailing address
13195 SW 134TH St FL 2
Miami, FL 33186-4461
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406851200000",
"number": "1982940185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13195 SW 134TH ST FL 2",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 PINE RIDGE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341092003",
"telephone_number": "239-213-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL SPECIALTY CENTER OF NAPLES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2014-08-01",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
"authorized_official_telephone_number": "305-274-2499"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.