Individual provider Active NPI

Kayla Y Perez-Ortiz, DDS

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1255977823
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25442 Issued in FL
Practice address
3280 Greenwald Way N
Kissimmee, FL 34741
Phone
(866) 364-6682
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25442 FL Primary

Addresses

Primary practice location

3280 Greenwald Way N
Kissimmee, FL 34741

Mailing address

3280 Greenwald Way N
Kissimmee, FL 34741-0728
Phone (866) 364-6682

Other practice location 1

3292 Greenwald Way N
Kissimmee, FL 34741-0728
Phone (787) 603-5494

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

LicenseStateTypeSpecialty
25442FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Innovations LLC General Practice CurrentSince Mar 19, 2023 Accepting new patients
Inova Smile CurrentSince Mar 19, 2023 Accepting new patients
Clarissa L Morales DMD PA PastSince Oct 1, 2021 Accepting new patients

Locations

3280 Greenwald Way N
Kissimmee, FL 34741
Phone (866) 364-6682

Organizations & group practices 3

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1255977823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 GREENWALD WAY N",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410728",
            "telephone_number": "866-364-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 GREENWALD WAY N",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "866-364-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3292 Greenwald Way N",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347410728",
            "country_code": "US",
            "telephone_number": "787-603-5494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-ORTIZ",
        "first_name": "KAYLA",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.