Osceola Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12467 Issued in FL

Legal business name

OSCEOLA DENTAL, INC

Practice address

3066 Michigan Ave
Kissimmee, FL 34744-1544

Phone

(407) 343-9800

Fax

(407) 343-9802

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anaura Tirado Velazquez, DDSNPI 1235506858

Title

President

Phone

(407) 343-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Anaura Velazquez, DDS

  • General Practice Dentistry
  • Kissimmee, FL
  • NPI 1235506858
  NPD (past) Authorized official
• Nilofar Mujtaba Jamasi, DMD

  • General Practice Dentistry
  • Kissimmee, FL
  • NPI 1730254293
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1356547418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441544",
            "telephone_number": "407-343-9800",
            "fax_number": "407-343-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441544",
            "telephone_number": "407-343-9800",
            "fax_number": "407-343-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "ANAURA",
        "authorized_official_middle_name": "TIRADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-343-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074075600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osceola County Health Department Pharmacy
• Osceola County Public Schools
• Osceola County Public Schools
• Osceola County Public Schools
• Osceola County Public Schools
• Osceola Developmental Center
• Osceola Emergency Group LLC
• Osceola Endocrine Consultants, Inc
• Osceola Gastroenterology Anesthesia Associates LLC
• Osceola Heart and Ambulatory Surgical Center LLC

• General Practice Dentistry in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.