IDEAL IMAGE (NPI# 1255789368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255789368 |
| Entity Type | Organization |
| Organization Name | IDEAL IMAGE |
| Practice Address |
1485 Pine Ridge Road Unit #1 Naples FL 34109 |
| Mailing Address |
1485 Pine Ridge Rd Naples FL 34109-2114 |
| Practice Telephone | 2395962005 |
| Practice Fax Number | 2395961090 |
| Mailing Telephone | 2395962005 |
| Mailing Fax Number | 2395961090 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | DR. KRISTON KENT (MEDICAL DIRECTOR IDEAL IMAGE) |
| Authorized Official Telephone | 2395147888 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3063932 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073978607 | Ideal Image | Nursing Care | 17504 Preserve Walk Ln, Tampa, FL 33647-3243 | 2015-12-26 |
| 1083008437 | Ideal Image | Clinic/Center | 1485 Pine Ridge Rd, Naples, FL 34109-2114 | 2015-03-24 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1679878904 | Ideal Image | Nurse Practitioner | 4866 Big Island Dr, Ste #5, Jacksonville, FL 32246-7498 | 2011-01-18 |
| 1871985853 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, 2345, Coral Gables, FL 33146-1846 | 2015-02-27 |
| 1609272038 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, Coral Gables, FL 33146-1846 | 2014-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Ideal Image Branding Elements Inc | 115 Haas Drive, Englewood, OH 45322 |
| System for Award Management (SAM) Entities | IDEAL IMAGE DENTISTRY & SPA | 600 E Main St, Mandan, ND 58554-3536 |
| New York State Corporations | IDEAL IMAGE DEVELOPMENT CORPORATION | 15 North Mill Street, Nyack, New York 10960 |
| Connecticut Business Registrations | IDEAL IMAGE DEVELOPMENT CORPORATION | 4830 W. Kennedy Blvd., Ste. 440, Tampa, FL 33609 |
| Massachusetts Corporations | IDEAL IMAGE DEVELOPMENT, INC. | 4830 W. Kennedy Blvd., Ste 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Group of Colorado, PLLC | 1 North Dale Mabry Hwy, Suite 1200, Yampa, FL 33609 |
| Connecticut Business Registrations | IDEAL IMAGE GROUP OF CONNECTICUT, LLC | 4830 West Kennedy Boulevard, Suite 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Inc | 115 Haas Drive, Englewood, OH 45322 |
| Virginia Business Entities | IDEAL IMAGE INC. | 115 Haas Dr, Englewood, Ohio 45322-2845 |
| Colorado Business Entities | IDEAL IMAGE OF COLORADO, LLC | 1 N Dale Mabry Hwy Ste 1200, Yampa, FL 33609 |
| Street Address |
1485 PINE RIDGE ROAD UNIT #1 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| 1093024812 | Carol Renaud Gaffney | Psychologist | 2240 Ashton Oaks Ln Apt 103, Naples, FL 34109 | 2010-09-28 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932660396 | Leslie Worth | Specialist | 1879 Veterans Park Dr Ste 1201, Naples, FL 34109-0500 | 2019-03-28 |
| 1720461536 | Janneke Huber | Specialist | 1725 Heritage Trl Ste 301, Naples, FL 34112-8716 | 2015-06-30 |
| 1609270925 | Joyful Juicing | Specialist | 1035 Collier Center Way Ste 10, Naples, FL 34110-8474 | 2014-10-15 |
| 1285034165 | Michael Shanaberger | Specialist | 9331 Tamiami Trl N Ste 1, Naples, FL 34108-2486 | 2014-08-28 |
| 1770997447 | Internal Medicine Institute of South Fl,llc | Specialist | 12264 Tamiami Trl E Ste 203, Naples, FL 34113-7942 | 2014-06-20 |
| 1972927465 | Joseph Farraye | Specialist | 8725 Cedar Hammock Blvd, Naples, FL 34112-3303 | 2014-02-05 |
| 1104261627 | John Joseph Butler II | Specialist | 6585 Nicholas Blvd, Apt1803, Naples, FL 34108-7210 | 2013-05-10 |
| 1699039024 | Allen Jack Savitt | Specialist | 4021 Gulf Shore Blvd N, #701, Naples, FL 34103-3471 | 2012-06-29 |
| 1114281045 | Marianna D Beigel | Specialist | 590 Italy Valley Rd, Naples, NY 14512-9414 | 2012-06-26 |
| 1326324716 | Cintex Health Services LLC | Specialist | 11965 Collier Blvd, Suite 2, Naples, FL 34116-6502 | 2011-10-29 |
| Find all providers in NAPLES | ||||
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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.