Organization Active NPI

Dental Elements, PA

  • Dentist
  • Kissimmee, FL
National Provider Identifier
1295181790
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20281 Issued in FL
Legal business name
DENTAL ELEMENTS, PA
Practice address
701 E Oak St Ste B
Kissimmee, FL 34744-4575
Phone
(407) 847-8000
Fax
(407) 847-6773
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dara Randall
Title
Treatment Coordinator
Phone
(407) 847-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN20281 FL Primary

Addresses

Primary practice location

701 E Oak St Ste B
Kissimmee, FL 34744-4575

Mailing address

701 E Oak St Ste B
Kissimmee, FL 34744-4575
Phone (407) 847-8000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1295181790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E OAK ST STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-847-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E OAK ST STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-847-8000",
            "fax_number": "407-847-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ELEMENTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "407-847-8000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20281",
            "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 May 13, 2016; 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.