Organization Active NPI

SDK Family Dentistry & Orthodontics, LLC

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1427641935
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SDK FAMILY DENTISTRY & ORTHODONTICS, LLC
Practice address
2102 E. Osceola Pkwy
Kissimmee, FL 34743
Phone
(407) 201-3998
Fax
(407) 931-3962
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Fabiola Elena Soprano
Title
Office Manager
Phone
(407) 201-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2102 E. Osceola Pkwy
Kissimmee, FL 34743

Mailing address

2102 E. Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 201-3998

National Provider Directory

National Provider Directory
Tax ID family
SDK Family Dentistry Orthodontics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2102 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 201-3998

Practitioners & affiliated clinicians

Practitioners 1

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1427641935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E. OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34743",
            "telephone_number": "407-201-3998",
            "fax_number": "407-931-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E. OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34743",
            "telephone_number": "407-201-3998",
            "fax_number": "407-931-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDK FAMILY DENTISTRY & ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SOPRANO",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-201-3998"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 16, 2021; 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.