Active NPI
VI DO
- Dentist
- Winter Park, FL
National Provider Identifier
1174438097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32211
- Practice address
- 1311 W Webster Ave
Winter Park, FL 32789-2927 - Phone
- (321) 430-3933
- NPI assigned
- Aug 17, 2026
- Last updated
- Aug 17, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 32211 | FL | Primary |
Addresses
Primary practice location
1311 W Webster Ave
Winter Park, FL 32789-2927
Mailing address
1311 W Webster Ave
Winter Park, FL 32789-2927
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1174438097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 W WEBSTER AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 W WEBSTER AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892927",
"telephone_number": "321-430-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "VI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "32211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.