Organization Active NPI

Ekos Kissimmee PLLC

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1194412783
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EKOS KISSIMMEE PLLC
Practice address
106 N Dean Rd Ste 140
Orlando, FL 32825-3767
Phone
(407) 614-6161
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Giovanna Dejesus
Title
Operations
Phone
(813) 340-0116

Specialties & licenses 1

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

Addresses

Primary practice location

106 N Dean Rd Ste 140
Orlando, FL 32825-3767

Mailing address

8794 Boynton Beach Blvd Ste 218
Boynton Beach, FL 33472-4469

Other names 1

  • Nulife Dental and Med Center Doing business as

National Provider Directory

National Provider Directory

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1194412783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N DEAN RD STE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253767",
            "telephone_number": "407-614-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKOS KISSIMMEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "813-340-0116"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nulife Dental and Med Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2024; 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.