Individual provider Active NPI

Yuniesky Martinezlopez, DDS

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1205455896
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27372 Issued in FL
Practice address
1700 Sand Lake Rd Ste D114
Orlando, FL 32809-9149
Phone
(407) 517-5510
NPI assigned
Apr 13, 2020
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27372 FL Primary

Addresses

Primary practice location

1700 Sand Lake Rd Ste D114
Orlando, FL 32809-9149

Mailing address

1324 Zapata CT
Winter Springs, FL 32708-4806
Phone (727) 623-3279

Other practice location 1

5761 S US Highway 17/92 Ste 1001
Casselberry, FL 32707-3819
Phone (407) 670-0557

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Dent Other

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
DN27372FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1205455896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 ZAPATA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084806",
            "telephone_number": "727-623-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAND LAKE RD STE D114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099149",
            "telephone_number": "407-517-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5761 S US Highway 17/92 Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327073819",
            "country_code": "US",
            "telephone_number": "407-670-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZLOPEZ",
        "first_name": "YUNIESKY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dent",
            "affiliation": "N",
            "endpointDescription": "Dent",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Dent Naples",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Naples",
            "address_1": "4077 Tamiami Trl N Ste D203",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341033594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 10, 2023; 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.