Active NPI
Juliana Andrea Iral Pineda, DMD
- Pediatric Dentistry
- Winter Park, FL
National Provider Identifier
1114333143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN23909
- Practice address
- 501 N Orlando Ave Ste 233
Winter Park, FL 32789-2947 - Phone
- (407) 622-1000
- NPI assigned
- Jul 10, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN23909 | FL | Primary |
Addresses
Primary practice location
501 N Orlando Ave Ste 233
Winter Park, FL 32789-2947
Mailing address
501 N Orlando Ave Ste 233
Winter Park, FL 32789-2947
Phone (407) 622-1000
Other practice location 1
University District Hospital Puerto Rico Medical Center
BO. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101
Other practice location 2
319 W Town Pl Ste 21
St Augustine, FL 32092
Phone (904) 940-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23909 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Children'S Dentistry and Orthodontics of Winter Park, PA | Pediatric Dentistry | Past | Accepting new patients |
| Steven R. Freeman DDS PL | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Winter Park, FL
- NPI 1306138045
-
- Dentist
- St Augustine, FL
- NPI 1982868634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1114333143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N ORLANDO AVE STE 233",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892947",
"telephone_number": "407-622-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N ORLANDO AVE STE 233",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892947",
"telephone_number": "407-622-1000"
}
],
"practiceLocations": [
{
"address_1": "University District Hospital Puerto Rico Medical Center",
"address_2": "BO. Monacillos",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009350001",
"country_code": "US",
"telephone_number": "787-754-0101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 W Town Pl Ste 21",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "32092",
"country_code": "US",
"telephone_number": "904-940-3933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRAL PINEDA",
"first_name": "JULIANA",
"middle_name": "ANDREA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN23909",
"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 Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.