Organization Active NPI

Edwin John Szczepanik

  • Dentist
  • Orlando, FL
National Provider Identifier
1194187005
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8437 Issued in FL
Legal business name
EDWIN JOHN SZCZEPANIK
Practice address
7758 Wallace Rd Ste 3
Orlando, FL 32819-7217
Phone
(407) 352-6888
Fax
(407) 352-0560
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Edwin John Szczepanik, DMDNPI 1992875280
Title
Owner
Phone
(407) 352-6888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8437 FL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

7758 Wallace Rd Ste 3
Orlando, FL 32819-7217

Mailing address

7758 Wallace Rd Ste 3
Orlando, FL 32819-7217
Phone (407) 352-6888

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1194187005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197217",
            "telephone_number": "407-352-6888",
            "fax_number": "407-352-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197217",
            "telephone_number": "407-352-6888",
            "fax_number": "407-352-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN JOHN SZCZEPANIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "SZCZEPANIK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-352-6888",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "8437",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 22, 2016; 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.