Dr. Kelli DMD, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN22050 Issued in FL

Legal business name

DR. KELLI DMD, PA

Practice address

1729 Heritage TRL # 904
Naples, FL 34112-7591

Phone

(239) 304-1900

Fax

(239) 304-1917

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kelli Eberhardt Salomon, DMD

Title

Owner

Phone

(239) 304-1900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Elizabeth Eberhardt, D.M.D.

  • Dentist
  • Bonita Springs, FL
  • NPI 1033561535
  NPD

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1992206593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 HERITAGE TRL # 904",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127591",
            "telephone_number": "239-304-1900",
            "fax_number": "239-304-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 HERITAGE TRL # 904",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127591",
            "telephone_number": "239-304-1900",
            "fax_number": "239-304-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KELLI DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "EBERHARDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-304-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN22050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Triage LLC (Senior Virtual Health)
• Dr William J Espinoza, PA
• Dr Yovanni Tineo P a
• Dr. Alfonso Olivos, P.a.
• Dr. Elana Buttigheri Cibula
• Dr. Lee R. Light M.D.
• Dr. Loan Lam (Comprehensive Foot and Ankle Center)
• Dr. Russell Masterson PA
• Dr.Robert Teitelbaum (Naples Podiatry Center)
• Dr4U,Inc

• Dental Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.