Orange Avenue Dentistry, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN16092 Issued in FL

Legal business name

ORANGE AVENUE DENTISTRY, INC.

Practice address

2116 S. Orange Ave.
Orlando, FL 32806

Phone

(407) 426-9933

Fax

(407) 426-9032

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nabil Naguib Youssef Jr., DMD

Title

Owner/Dentist

Phone

(407) 426-9933

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirin Esmail Rawji, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1588871057
  NPD (past)
• Mateen Sheikh, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1801101134
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1215200084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063037",
            "telephone_number": "407-426-9933",
            "fax_number": "407-426-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S. ORANGE AVE.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-426-9933",
            "fax_number": "407-426-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE AVENUE DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "NAGUIB",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-426-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN16092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003787800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Oramas
• Katherine Oramas
• Kathleen Oramas
• Orange Anesthesia Associates, Inc.
• Orange Ave Consulting
• Orange Avenue Dentistry, PLLC
• Orange Avenue Surgery Center, LLC
• Orange Avenue Surgical Suite, LLC
• Orange Behavioral Health LLC
• Orange Blossom Injury, Health and Wellness, LLC

• Preferred Provider Organization in Orlando, FL
• Providers in Orlando, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.