Active NPI
Francisco Vicente Chumpitaz, DDS
- Dentist
- Apopka, FL
National Provider Identifier
1093210205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25133
- Practice address
- 380B Semoran Commerce PL Ste 204
Apopka, FL 32703-4670 - Phone
- (201) 284-2806
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN25133 | FL | Primary |
Addresses
Primary practice location
380B Semoran Commerce PL Ste 204
Apopka, FL 32703-4670
Mailing address
9962 Aloma Bend LN
Oviedo, FL 32765-6197
Phone (201) 284-2806
Other practice location 1
1229 Providence Blvd Ste B
Deltona, FL 32725-7362
Phone (386) 574-8388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721002328 | FL | Order and Referring Only - Dentist | 1052735230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Current | Accepting new patients |
| Coast Florida P.a. | Dentist | Past | Accepting new patients |
Locations
1229 Providence Blvd
Ste B
Deltona, FL 32725
Phone (386) 574-8388
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Dentist
- Deltona, FL
- NPI 1407422884
-
- Dentist
- Tampa, FL
- NPI 1730287673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1093210205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9962 ALOMA BEND LN",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656197",
"telephone_number": "201-284-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380B SEMORAN COMMERCE PL STE 204",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034670",
"telephone_number": "201-284-2806"
}
],
"practiceLocations": [
{
"address_1": "1229 Providence Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327257362",
"country_code": "US",
"telephone_number": "386-574-8388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUMPITAZ",
"first_name": "FRANCISCO",
"middle_name": "VICENTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2022-08-04",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.