Organization Active NPI

Sunrise Dental & Wellness Center PLLC

  • Dentist
  • Leesburg, FL
National Provider Identifier
1205764537
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUNRISE DENTAL & WELLNESS CENTER PLLC
Practice address
1380 W North Blvd
Leesburg, FL 34748-3900
Phone
(352) 626-5060
Fax
(352) 626-5099
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Dr. Luis Carmelo Gaud, DMDNPI 1386845725
Title
Dentist Owner
Phone
(407) 401-3542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1380 W North Blvd
Leesburg, FL 34748-3900

Mailing address

1495 Riviera Dr
Kissimmee, FL 34744-6647
Phone (352) 626-5060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1205764537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RIVIERA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446647",
            "telephone_number": "352-626-5060",
            "fax_number": "352-626-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483900",
            "telephone_number": "352-626-5060",
            "fax_number": "352-626-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DENTAL & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "GAUD",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "CARMELO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "407-401-3542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.