Individual provider Active NPI

Caroline W. L. Basta, D.D.S.

  • Dentist
  • Winter Springs, FL
National Provider Identifier
1003475161
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24833 Issued in FL
Practice address
116 W State Road 434
Winter Springs, FL 32708-2551
Phone
(321) 765-4790
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24833 FL
Dentist 122300000X 7192 NV
Dentist 122300000X DN24833 FL Primary

Addresses

Primary practice location

116 W State Road 434
Winter Springs, FL 32708-2551

Mailing address

2044 Wood Thrush LN
Winter Park, FL 32792-3164
Phone (702) 601-4714

Other practice location 1

110 S Orlando Ave Ste 10
Winter Park, FL 32789-3656
Phone (407) 691-3447

Other practice location 2

4063 N Goldenrod Rd Ste 4
Winter Park, FL 32792-8905
Phone (407) 677-8888

Other practice location 3

4401 S Orange Ave Ste 106
Orlando, FL 32806-6969
Phone (407) 851-2255

Other practice location 4

4035 S Durango Dr Ste 103
Las Vegas, NV 89147-4162
Phone (702) 843-0921

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601001138 FL Order and Referring Only - DentistPractitioner - Dentist 1456772318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24833FLMDDentist
DN24833FLMDDentist
7192NVMDDentist

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist CurrentSince Jun 22, 2021 Accepting new patients
Sunrays Smiles Dental Care Inc PastSince Aug 10, 2025 Accepting new patients
Natural Smiles Dentist PastSince Aug 4, 2024 Accepting new patients
Coast Florida P.a. Dentist PastSince May 1, 2020 Accepting new patients

Locations

4401 S Orange Ave
Ste 106
Orlando, FL 32806
Phone (407) 851-2255

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP
  • FL HMO C-SNP
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1003475161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 WOOD THRUSH LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923164",
            "telephone_number": "702-601-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082551",
            "telephone_number": "321-765-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Orlando Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893656",
            "country_code": "US",
            "telephone_number": "407-691-3447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4063 N Goldenrod Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327928905",
            "country_code": "US",
            "telephone_number": "407-677-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 S Orange Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328066969",
            "country_code": "US",
            "telephone_number": "407-851-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 S Durango Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891474162",
            "country_code": "US",
            "telephone_number": "702-843-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTA",
        "first_name": "CAROLINE",
        "middle_name": "W. L.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "24833",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7192",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.