Individual provider Active NPI

Margi Abhishek Vadaliya

  • Dentist
  • Orlando, FL
National Provider Identifier
1114658473
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28539 Issued in FL
Practice address
6784 Eagle Watch Dr Ste 550
Orlando, FL 32822-2355
Phone
(407) 982-7996
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17494 MD
Dentist 122300000X DN28539 FL Primary

Addresses

Primary practice location

6784 Eagle Watch Dr Ste 550
Orlando, FL 32822-2355

Mailing address

8524 Andover Bridge CT
Orlando, FL 32829-8382

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

LicenseStateTypeSpecialty
DN28539FLMDDentist
17494MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental of Lee Vista Dentist CurrentSince Oct 1, 2023 Accepting new patients
Ideal Dental of Lee Vista PLLC Dentist CurrentSince Oct 1, 2023 Accepting new patients

Locations

6784 Eagle Watch Dr
Ste 550
Orlando, FL 32822
Phone (407) 982-7996

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1114658473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 ANDOVER BRIDGE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 EAGLE WATCH DR STE 550",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222355",
            "telephone_number": "407-982-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADALIYA",
        "first_name": "MARGI",
        "middle_name": "ABHISHEK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17494",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.