Active NPI
Michael Orrantia, DMD
- Endodontics
- Brandon, FL
National Provider Identifier
1174544423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN11659
- Practice address
- 625 Eichenfeld Drive
Brandon, FL 33511 - Phone
- (813) 654-3636
- Fax
- (813) 651-4984
- NPI assigned
- Jul 22, 2006
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN11659 | FL | Primary |
Addresses
Primary practice location
625 Eichenfeld Drive
Brandon, FL 33511
Mailing address
625 Eichenfeld Dr
Brandon, FL 33511-5908
Phone (813) 654-3636
Other names 1
- Dr. Michael Orrantia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920003285 | FL | Order and Referring Only - Dentist | 2062763691 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Endodontics, PA | Endodontics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1174544423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 EICHENFELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115908",
"telephone_number": "813-654-3636",
"fax_number": "813-651-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 EICHENFELD DRIVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-654-3636",
"fax_number": "813-651-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORRANTIA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN11659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "ORRANTIA",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.