Individual provider Active NPI

Elsy Dania Orellana, DMD, MSD

  • Periodontics
  • Wesley Chapel, FL
National Provider Identifier
1417705120
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN28922 Issued in FL
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

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DN28922FLMDPeriodontist

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

Verify at the official NPI Registry.