NPIMap

Organization Active NPI

Dental Associates of Lake Mary, P.a

  • Dental Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1174944151
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17281 Issued in FL
Legal business name
DENTAL ASSOCIATES OF LAKE MARY, P.A
Practice address
1301 S International Pkwy
Suite 2041
Lake Mary, FL 32746-1409
Phone
(407) 829-2123
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Kalpesh Mehta, DMDNPI 1528179074
Title
Owner / Partner
Phone
(407) 829-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17281 FL Primary

Addresses

Primary practice location

1301 S International Pkwy
Suite 2041
Lake Mary, FL 32746-1409

Mailing address

1301 S International Pkwy
Suite 2041
Lake Mary, FL 32746-1409

National Provider Directory

National Provider Directory

Locations

1301 S International Pkwy
Ste 2041
Lake Mary, FL 32746
Phone (407) 829-2123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1174944151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461409",
            "telephone_number": "407-829-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF LAKE MARY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "OWNER / PARTNER",
        "authorized_official_telephone_number": "407-829-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.