Organization Active NPI

W. K. Fravel, D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ocoee, FL
National Provider Identifier
1346303658
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8872 Issued in FL
Legal business name
W. K. FRAVEL, D.M.D., P.A.
Practice address
1291 Blackwood Ave
Ocoee, FL 34761-4521
Phone
(407) 656-0001
Fax
(407) 656-5290
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Mrs. Jeanne A. Fravel
Title
Office Manager
Phone
(407) 656-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8872 FL Primary

Addresses

Primary practice location

1291 Blackwood Ave
Ocoee, FL 34761-4521

Mailing address

1291 Blackwood Ave
Ocoee, FL 34761-4521
Phone (407) 656-0001

National Provider Directory

National Provider Directory

Locations

1291 Blackwood Ave
Ocoee, FL 34761
Phone (407) 656-0001

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1346303658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614521",
            "telephone_number": "407-656-0001",
            "fax_number": "407-656-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614521",
            "telephone_number": "407-656-0001",
            "fax_number": "407-656-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. K. FRAVEL, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "FRAVEL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-656-0001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "8872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.