NPIMap

Organization Active NPI

Victorian Dental

  • Dental Clinic/Center
  • Deland, FL
National Provider Identifier
1033774757
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VICTORIAN DENTAL
Practice address
131 Victoria Commons Blvd
Deland, FL 32724
Phone
(386) 624-7658
Fax
(386) 873-4625
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Dr. Christopher Hamilton Rae, DMDNPI 1457581217
Title
President
Phone
(386) 624-7658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

131 Victoria Commons Blvd
Deland, FL 32724

Mailing address

1431 Orange Camp Rd Ste 108
Deland, FL 32724-7769
Phone (386) 624-7658

National Provider Directory

National Provider Directory

Locations

131 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 624-7658

1431 Orange Camp Rd
Ste 108
Deland, FL 32724

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1033774757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 108",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247769",
            "telephone_number": "386-624-7658",
            "fax_number": "386-873-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 VICTORIA COMMONS BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-624-7658",
            "fax_number": "386-873-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-624-7658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.