Individual provider Active NPI

Andrew Peter Dermarkarian, DDS

  • General Practice Dentistry
  • Eustis, FL
National Provider Identifier
1194319368
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26594 Issued in FL
Practice address
15455 US Highway 441
Eustis, FL 32726-8321
Phone
(352) 399-0911
NPI assigned
Feb 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11749 TN
General Practice Dentistry 1223G0001X DN26594 FL Primary

Addresses

Primary practice location

15455 US Highway 441
Eustis, FL 32726-8321

Mailing address

1833 Sweetwater West Cir
Apopka, FL 32712-2483
Phone (407) 925-7021

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

State licenses

LicenseStateTypeSpecialty
DN26594FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Southwest Florida PastSince Mar 1, 2021 Accepting new patients
Oviedo Smiles Dentistry, PA Dentist PastSince Apr 1, 2022 Accepting new patients
Lake Mary Modern Dentistry, PA Dentist PastSince Apr 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73767

Organizations & group practices 3

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1194319368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 SWEETWATER WEST CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122483",
            "telephone_number": "407-925-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 US HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327268321",
            "telephone_number": "352-399-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMARKARIAN",
        "first_name": "ANDREW",
        "middle_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11749",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.