Active NPI
Yuniesky Martinezlopez, DDS
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1205455896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27372
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN27372 | FL | MD | General 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.