NPIMap

Organization Active NPI

Juan Amaya D.D.S.,P.L.C.

  • General Practice Dentistry
  • Winter Springs, FL
National Provider Identifier
1063549442
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN7654 Issued in FL
Legal business name
JUAN AMAYA D.D.S.,P.L.C.
Practice address
1450 Tuskawilla Rd
Suite 116
Winter Springs, FL 32708-5204
Phone
(407) 699-0958
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Juan Amaya
Title
Dentist
Phone
(407) 699-0958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN7654 FL Primary

Addresses

Primary practice location

1450 Tuskawilla Rd
Suite 116
Winter Springs, FL 32708-5204

Mailing address

1450 Tuskawilla Rd
Suite 116
Winter Springs, FL 32708-5204

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1063549442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TUSKAWILLA RD",
            "address_2": "SUITE 116",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TUSKAWILLA RD",
            "address_2": "SUITE 116",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085204",
            "telephone_number": "407-699-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN AMAYA D.D.S.,P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-699-0958",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.