Active NPI
Victor R First, DDS
- Public Health Dentistry
- Sanford, FL
National Provider Identifier
1194790097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DN8323
- Practice address
- 400 W Airport Blvd
Sanford, FL 32773-5489 - Phone
- (407) 665-3346
- Fax
- (407) 665-3213
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN8323 | FL | Primary |
Addresses
Primary practice location
400 W Airport Blvd
Sanford, FL 32773-5489
Mailing address
1097 Eagles Watch TRL
Winter Springs, FL 32708-5029
Phone (407) 699-4147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077137600 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN8323 | FL | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1194790097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1097 EAGLES WATCH TRL",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085029",
"telephone_number": "407-699-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W AIRPORT BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735489",
"telephone_number": "407-665-3346",
"fax_number": "407-665-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRST",
"first_name": "VICTOR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN8323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077137600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.