NPIMap

Organization Active NPI

Ata Dental Kissimmee LLC

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1366001471
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATA DENTAL KISSIMMEE LLC
Doing business as
Ata Dental Kissimmee LLC
Practice address
3192 S John Young Pkwy Ste B
Kissimmee, FL 34746-8814
Phone
(407) 870-5151
Fax
(407) 870-2556
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Dr. Joseph Ata, DMDNPI 1457585242
Title
Owner
Phone
(407) 870-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3192 S John Young Pkwy Ste B
Kissimmee, FL 34746-8814

Mailing address

3192 S John Young Pkwy
Kissimmee, FL 34746-8814
Phone (407) 870-5151

Other names 1

  • Ata Dental Kissimmee LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3192 S John Young Pkwy
Kissimmee, FL 34746
Phone (407) 870-5151

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1366001471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 S JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347468814",
            "telephone_number": "407-870-5151",
            "fax_number": "407-870-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 S JOHN YOUNG PKWY STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347468814",
            "telephone_number": "407-870-5151",
            "fax_number": "407-870-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATA DENTAL KISSIMMEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-870-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ata Dental Kissimmee LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2019; 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.