Volusia Endodontics-Maitland

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

VOLUSIA ENDODONTICS-MAITLAND

Practice address

670 N Orlando Ave Ste 203
Maitland, FL 32751-4465

Phone

(407) 581-9515

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Susie Bobo

Title

Office Manager

Phone

(407) 581-9515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hamza Usman Mir, DMD

  • Endodontics
  • Orlando, FL
  • NPI 1194094938
  NPD (past)

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1154899763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 203",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-581-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 203",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-581-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA ENDODONTICS-MAITLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-581-9515"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Paul Wilson MD,PA (Maitland Primary Care)
• Vision Source Maitland, LLC (Vision Source)
• Vitas Healthcare Corporation of Florida
• Vivant Management LLC
• Vivant Venture I LLC (Vivant at Versailles)
• Xuong Vong, LMT
• Vincenzo Vurro, M.A., CCC/SLP
• Susan Wachter, MA, LMHC, NCC
• Jessica Wagman, ARNP
• Elisabeth Wagner

• Endodontics in Maitland, FL
• Providers in Maitland, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.