Active NPI
Rodrigo S Fernandes, DDS
- General Practice Dentistry
- Winter Springs, FL
National Provider Identifier
1174221972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31568
- Practice address
- 1122 E State Road 434 Ste 1020
Winter Springs, FL 32708-2723 - Phone
- (689) 201-6327
- NPI assigned
- Feb 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 31568 | FL | Primary |
Addresses
Primary practice location
1122 E State Road 434 Ste 1020
Winter Springs, FL 32708-2723
Mailing address
1122 E State Road 434 Ste 1020
Winter Springs, FL 32708-2723
Phone (689) 201-6327
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumma Dental Corp | General Practice | Current | Accepting new patients |
Locations
1122 E State Road 434
Ste 1020
Winter Springs, FL 32708
Phone (407) 327-9566
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Winter Springs, FL
- NPI 1083549760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1174221972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E STATE ROAD 434 STE 1020",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082723",
"telephone_number": "689-201-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E STATE ROAD 434 STE 1020",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082723",
"telephone_number": "689-201-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "RODRIGO",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-21",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "31568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.