Individual provider Active NPI

Christopher Anthony Varela, D.D.S

  • Dentist
  • Orlando, FL
National Provider Identifier
1215316245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22914 Issued in FL
Practice address
1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone
(321) 663-0568
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22914 FL Primary

Addresses

Primary practice location

1601 N Goldenrod Rd
Orlando, FL 32807-8308

Mailing address

1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone (321) 663-0568

Other practice location 1

500 Gypsy Lane
Youngstown, OH 44501
Phone (330) 884-3058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160315002706 OH Order and Referring Only - DentistPractitioner - Dentist 4284939679
I20171019000015 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284939679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CMV Family Dental LLC Dentist PastSince Jul 24, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215316245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "321-663-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "321-663-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Lane",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44501",
            "country_code": "US",
            "telephone_number": "330-884-3058",
            "fax_number": "330-884-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARELA",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.