Individual provider Active NPI

Francisco Vicente Chumpitaz, DDS

  • Dentist
  • Apopka, FL
National Provider Identifier
1093210205
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25133 Issued in FL
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

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721002328 FL Order and Referring Only - DentistPractitioner - Dentist 1052735230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Dentist PastSince Jul 1, 2020 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.

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

Verify at the official NPI Registry.