Downtown Ortho LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOWNTOWN ORTHO LLC

Doing business as

Westlake Orthodontics

Practice address

4951 Seminole Pratt Whitney Rd
Suite #1100
Westlake, FL 33470

Phone

(561) 566-7896

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

DOWNTOWN ORTHO LLCAs reported in NPPES

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

Authorized official

Name

Dr. Deanna Pandolfo, DMDNPI 1538741392

Title

Orthodontist

Phone

(631) 374-5130

Specialties & licenses 1

Addresses

Other names 1

• Westlake Orthodontics Doing business as

Part of

Downtown Ortho LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deanna Pandolfo, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westlake, FL
  • NPI 1538741392
  NPD (past) Authorized official

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1003624776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14923 PADDOCK DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334141018",
            "telephone_number": "631-374-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 SEMINOLE PRATT WHITNEY RD",
            "address_2": "SUITE #1100",
            "city": "WESTLAKE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-566-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN ORTHO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOWNTOWN ORTHO LLC",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "PANDOLFO",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "631-374-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joana Alourdes Daniel
• Rosamaria De la Osa
• Brianica Defranc
• Christine Donalds-Rose, PHD, LMFT
• Doverm Rehabilitation
• Gianina Ekpa
• Kimberlie Evans
• Evolution Pathways Behavioral LLC
• Evolve Behavioral and Wellness
• Julbert Francois, PA

• Dental Clinic/Center in Westlake, FL
• Providers in Westlake, 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 Dec 26, 2024; 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.