NPIMap

Organization Active NPI

Evelyn Miranda Halem, DMD, PA

  • Dentist
  • Orlando, FL
National Provider Identifier
1235264060
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13516 Issued in FL
Legal business name
EVELYN MIRANDA HALEM, DMD, PA
Practice address
1405 S Hiawassee Rd Ste C
Orlando, FL 32835-5786
Phone
(407) 294-6009
Fax
(407) 294-2722
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Evelyn Miranda HalemNPI 1881901999
Title
President
Phone
(407) 294-6009

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 13516 FL Primary

Addresses

Primary practice location

1405 S Hiawassee Rd Ste C
Orlando, FL 32835-5786

Mailing address

1405 S Hiawassee Rd Ste C
Orlando, FL 32835-5786
Phone (407) 294-6009

National Provider Directory

National Provider Directory

Locations

1405 S Hiawassee Rd
Ste C
Orlando, FL 32835
Phone (407) 294-6009

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1235264060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S HIAWASSEE RD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355786",
            "telephone_number": "407-294-6009",
            "fax_number": "407-294-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S HIAWASSEE RD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355786",
            "telephone_number": "407-294-6009",
            "fax_number": "407-294-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN MIRANDA HALEM, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "HALEM",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-294-6009",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 18, 2011; 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.