Kiwan Dental Care & Dental Implants Center, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIWAN DENTAL CARE & DENTAL IMPLANTS CENTER, LLC

Practice address

5285 Summerlin Rd Ste 401
Fort Myers, FL 33919-7601

Phone

(239) 313-7770

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed M Saleh Kiwan, D.M.D

Title

Dentist/ Director

Phone

(239) 313-7770

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.

• Samira Ahmed Heeren, DDS

  • Dentist
  • Fort Myers, FL
  • NPI 1578498465
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1992262547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 SUMMERLIN RD STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197601",
            "telephone_number": "239-313-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 SUMMERLIN RD STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197601",
            "telephone_number": "239-313-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWAN DENTAL CARE & DENTAL IMPLANTS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "SALEH  KIWAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/ DIRECTOR",
        "authorized_official_telephone_number": "239-313-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L Kirsten, CRNP
• Ashley Marie Kish, D.C.
• Kismet Professional Services, Inc.
• Sarah Kitchens, RN
• Emily Kite
• Laurie Ann Knight Kjoller, LICSW
• Ryan Lee Kjome, M.D.
• Timothy John Klatt, PA-C
• Garrick Leonard Klaybor, M.D.
• Evelyn Kleiber, CRNA

• Dental Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, 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 Mar 1, 2019; 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.