Active NPI
Elsy Dania Orellana, DMD, MSD
- Periodontics
- Wesley Chapel, FL
National Provider Identifier
1417705120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN28922
- Practice address
- 2370 Bruce B Downs Blvd Ste 201
Wesley Chapel, FL 33544-9215 - Phone
- (727) 488-6599
- NPI assigned
- May 8, 2024
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN28922 | FL | Primary |
Addresses
Primary practice location
2370 Bruce B Downs Blvd Ste 201
Wesley Chapel, FL 33544-9215
Mailing address
210 Promenade Vista St Unit 3319
Charleston, SC 29412-2236
Phone (727) 488-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 1, 2024 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28922 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1417705120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PROMENADE VISTA ST UNIT 3319",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122236",
"telephone_number": "727-488-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 BRUCE B DOWNS BLVD STE 201",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449215",
"telephone_number": "727-488-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORELLANA",
"first_name": "ELSY",
"middle_name": "DANIA",
"credential": "DMD, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN28922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.