Organization Active NPI

Orlando Tongue Tie and Dental Airway Health Center

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Park, FL
National Provider Identifier
1073341012
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORLANDO TONGUE TIE AND DENTAL AIRWAY HEALTH CENTER
Practice address
4063 N Goldenrod Rd Ste 105
Winter Park, FL 32792-8914
Phone
(689) 291-2100
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Carla Arias, DMDNPI 1932358132
Title
Owner
Phone
(787) 242-9911

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4063 N Goldenrod Rd Ste 105
Winter Park, FL 32792-8914

Mailing address

4063 N Goldenrod Rd Ste 105
Winter Park, FL 32792-8914
Phone (689) 291-2100

National Provider Directory

National Provider Directory

Locations

4063 N Goldenrod Rd
Ste 105
Winter Park, FL 32792
Phone (689) 291-2100

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1073341012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 105",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928914",
            "telephone_number": "689-291-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 105",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928914",
            "telephone_number": "689-291-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO TONGUE TIE AND DENTAL AIRWAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-242-9911",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.