DENTAL ASSOCIATES OF CAPE CORAL, PA (NPI# 1215129275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215129275 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF CAPE CORAL, PA |
| Other Organization Name | MAIN STREET ORTHODONTICS OF CAPE CORAL |
| Practice Address |
1715 Cape Coral Pkwy W Suite #11 Cape Coral FL 33914-6914 |
| Practice Telephone | 2395423185 |
| Practice Fax Number | 2395403883 |
| Mailing Telephone | 2395423185 |
| Mailing Fax Number | 2395403883 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | MELODY PARRISH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Main Street Orthodontics of Cape Coral | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225140718 | Dental Associates of Cape Coral, Pa | Dentist | 1715 Cape Coral Parkway West, Suite 11, Cape Coral, FL 33914 | 2006-08-31 |
| Street Address |
1715 CAPE CORAL PKWY W SUITE #11 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33914-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215956479 | Physiotherapy Associates Inc | Clinic/Center | 1715 Cape Coral Pkwy W, Ste 21, Cape Coral, FL 33914-6914 | 2006-07-19 |
| 1235580309 | Kevin Reynolds | Physical Therapist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-7029 | 2016-06-29 |
| 1043680069 | Melissa Best | Occupational Therapist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-6914 | 2015-10-02 |
| 1649647041 | Alicia Harker | Physical Therapist | 1715 Cape Coral Pkwy W, Suite 21, Cape Coral, FL 33914-6914 | 2015-09-01 |
| 1245575497 | Deborah Ann Steffan | Physical Therapist | 1715 Cape Coral Pkwy W, Suite 7, Cape Coral, FL 33914-6914 | 2012-11-29 |
| 1740557198 | Main Street Children's Dentistry and Orthodontics of Cape Coral, P.a. | Dentist | 1715 Cape Coral Pkwy W, Unit 13, Cape Coral, FL 33914-6914 | 2011-11-29 |
| 1174800163 | Sharon Goodwin | Dentist | 1715 Cape Coral Pkwy W, Suite #11, Cape Coral, FL 33914-6914 | 2011-11-04 |
| 1124300546 | Micah Owen Marazon | Physical Therapist | 1715 Cape Coral Pkwy W, Ste 13, Cape Coral, FL 33914-6914 | 2011-09-12 |
| 1992086656 | Johnny Alan Cortez Jr. | Physical Therapy Assistant | 1715 Cape Coral Pkwy W, Suite 13, Cape Coral, FL 33914-6914 | 2011-09-07 |
| 1497067094 | Andrea Lynn Boucher | Dentist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-6914 | 2010-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1316310303 | Alejandra Romero | Dentist | 1715 Cape Coral Parkway West.suite #13, Cape Coral, FL 33914 | 2015-11-12 |
| 1366826141 | Hannah M Dowling | Nurse Practitioner | 2441 Surfside Blvd., Cape Coral, FL 33914 | 2015-07-12 |
| 1003181389 | Yosmel O Carrasco | Massage Therapist | 3910 Santa Barbara Blvd 103, Cape Coral, FL 33914 | 2012-03-20 |
| 1326330507 | Taylor's Exceptional Nurse Practitioner Service, LLC | Nurse Practitioner | 841 Sw 47th Ter #106, Cape Coral, FL 33914 | 2011-05-06 |
| 1407010226 | Carmelita Buenviaje Almazan | Case Manager/Care Coordinator | 4334 Sw 9th Avenue, Cape Coral, FL 33914 | 2008-07-10 |
| 1447471503 | Daysi Perez | Massage Therapist | 4624 Sw 14 Ave, Cape Coral, FL 33914 | 2007-05-02 |
| 1801973466 | Russell Meredith Fidler | Dentist | 1616 W Cape Coral Parkway Unit #115, Cape Coral, FL 33914 | 2006-11-01 |
| 1134226814 | Elizabeth Elia | Dentist | 415 Cape Coral Parkway #w1, Cape Coral, FL 33914 | 2006-09-17 |
| 1225140718 | Dental Associates of Cape Coral, Pa | Dentist | 1715 Cape Coral Parkway West, Suite 11, Cape Coral, FL 33914 | 2006-08-31 |
| Find all providers in zip 33914 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548580087 | Daniel Joseph Dibagno | Dentist | 1835 Piccadilly Cir, Cape Coral, FL 33991-3152 | 2010-06-07 |
| 1912164955 | Donald W Norton | Dentist | 4115 Del Prado Blvd S, Cape Coral, FL 33904-7164 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
| 1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
| 1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
| 1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.