Active NPI
Lina Maria Cortes, DDS
- Endodontics
- Kissimmee, FL
National Provider Identifier
1366878902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 20971
- Practice address
- 1106 Cypress Glen Cir
Kissimmee, FL 34741-7559 - Phone
- (407) 627-0424
- Fax
- (407) 264-8434
- NPI assigned
- Sep 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 20971 | FL | Primary |
Addresses
Primary practice location
1106 Cypress Glen Cir
Kissimmee, FL 34741-7559
Mailing address
1106 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone (407) 627-0424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812749947 | Other | FL | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20971 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Loop Endodontics LLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Kissimmee, FL
- NPI 1578052494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1366878902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417559",
"telephone_number": "407-627-0424",
"fax_number": "407-264-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417559",
"telephone_number": "407-627-0424",
"fax_number": "407-264-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "LINA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-14",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "20971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "812749947",
"state": "FL"
}
],
"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 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.