My Forever Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY FOREVER SMILES LLC

Practice address

7208 W Sand Lake Rd Ste 104
Orlando, FL 32819-5277

Phone

(407) 363-1904

Fax

(407) 577-3418

NPI assigned

Jul 11, 2019

Organization subpart

Yes

Parent organization

MY FOREVER SMILES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Heidi Ann Borrero

Title

Office Manager

Phone

(407) 363-1904

Specialties & licenses 1

Addresses

Part of

My Forever Smiles LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid Omar Rayan, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1750543617
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1144872029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195277",
            "telephone_number": "407-363-1904",
            "fax_number": "407-577-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195277",
            "telephone_number": "407-363-1904",
            "fax_number": "407-577-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FOREVER SMILES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY FOREVER SMILES LLC",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-363-1904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MV Behavior Therapy Services Inc
• My Angels J&J Ppec, LLC
• My Coping Lab Inc
• My Easy Therapy Center LLC
• My Family Medical Group LLC
• My Grandparents Speech Therapy LLC
• My Hearing Centers Holding
• My Kid Therapy Center
• My Lil Tree House LLC
• My Place LLC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.