Active NPI
Andrea Carolina Castillo Armas, DMD
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1174217921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27941
- Practice address
- 12990 Tanja King Blvd
Orlando, FL 32828-7380 - Phone
- (689) 206-5097
- NPI assigned
- Jun 5, 2023
- Last updated
- Dec 30, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN27941 | FL | Primary |
Addresses
Primary practice location
12990 Tanja King Blvd
Orlando, FL 32828-7380
Mailing address
10869 Longleaf Woods Dr
Orlando, FL 32832-3614
Phone (954) 610-5796
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 |
|---|---|---|---|
| DN27941 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental of Lake Nona PLLC | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Orlando, FL
- NPI 1821609454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1174217921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10869 LONGLEAF WOODS DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328323614",
"telephone_number": "954-610-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12990 TANJA KING BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287380",
"telephone_number": "689-206-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO ARMAS",
"first_name": "ANDREA",
"middle_name": "CAROLINA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN27941",
"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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.